De Haan, Kenneth John

De Haan, Kenneth John is an sole proprietor health care provider with primary practice located at 704 West 8Th Street , San Pedro CA 90731. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. De Haan, Kenneth John can be contacted via phone (310) 832-7545.

Contact Information

Primary practice address
704 West 8Th Street San Pedro CA 90731
Phone: (310) 832-7545
Fax: (310) 833-8580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS13281 California

Profile Details

NPI number 1174643753
LBN Legal business name De Haan, Kenneth John
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jun 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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