William Blake Semon
Counselor, Professional in Three Bridges, NJ. Individual provider (NPI-1).
NPI number1760630735
StatusActive
Last updated in NPPESJun 10, 2015
Details
- NPI
- 1760630735
- Entity type
- Individual (NPI-1)
- Name
- William Blake Semon
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2008
- Last updated
- Jun 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37PC00500800 | NJ | Yes |
Practice location
312 Sparrow CtThree Bridges, NJ 08887-2117
Phone 908-399-1274
Mailing address
312 Sparrow CtThree Bridges, NJ 08887-2117
Phone 908-399-1274
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