Individual
MR. KEVIN B NIEHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSE, PSYD, LPCC,
Contact information
Practice address
2617 RIPLEY AVE, REDONDO BEACH, CA 90278-4553
(657) 233-0374
Mailing address
2617 RIPLEY AVE, REDONDO BEACH, CA 90278-4553
(657) 233-0374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC8824
CA
Other
Enumeration date
09/07/2018
Last updated
10/15/2021
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