Individual
SUSAN H NIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
4404 LEISURE TIME DR, DIAMONDHEAD, MS 39525-3237
(228) 255-6088
Mailing address
4404 LEISURE TIME DR, DIAMONDHEAD, MS 39525-3237
(228) 255-6088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1277
MS
Other
Enumeration date
07/27/2006
Last updated
04/23/2025
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