MEDICARE: JULIE SEMEGO LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PC008069	PA

General Provider Information

NPI Number	:	1093109894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SEMEGO LPC

Provider Business Mailing Address
First Line	:	421 STAG HORN DR
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9006
Country	:	US
Telephone Number	:	724-719-1279
Fax Number	:

Provider Business Practice Location Address
First Line	:	9013 MARSHALL RD
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-3605
Country	:	US
Telephone Number	:	724-719-1279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2015
Last Update Date	:	03/19/2015

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