Individual
KARIN L NIEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, SAC
Contact information
Practice address
3300 14TH PL, KENOSHA, WI 53144-2970
(262) 873-7991
Mailing address
3300 14TH PL, KENOSHA, WI 53144-2970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
7511-123
WI
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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