Individual
MR. JERRY E SEMIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSED, LPCC
Contact information
Practice address
955 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5035
(330) 884-1900
(330) 884-1928
Mailing address
955 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5035
(330) 884-1900
(330) 884-1928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0001311
OH
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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