MEDICARE: MARK A SEMET

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	20001711425	MO

General Provider Information

NPI Number	:	1184872053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK A SEMET

Provider Business Mailing Address
First Line	:	8220 ORVILLE AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-1949
Country	:	US
Telephone Number	:	913-909-9528
Fax Number	:

Provider Business Practice Location Address
First Line	:	8220 ORVILLE AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-1949
Country	:	US
Telephone Number	:	913-909-9528
Fax Number	:

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

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	11/12/2009

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Directions to “ MARK A SEMET ” Practice Location

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