Individual
IVAN SEMENOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1544 ELMIRA ST, AURORA, CO 80010-2116
(303) 617-2300
(303) 617-2344
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
(303) 617-2344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0020532
CO
Other
Enumeration date
06/14/2023
Last updated
04/11/2024
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