SHANE MICHAEL NIELS

LOS ANGELES, CA
NPI1437965621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-12-04
Last Update Date2024-12-04
Business Address
Mr. SHANE MICHAEL NIELS CADC-1
5723 MELROSE AVE
LOS ANGELES, CA 90038-3890
Phone number: 312-810-0685
Mailing Address
Mr. SHANE MICHAEL NIELS CADC-1
801 S BERENDO ST APT 214
LOS ANGELES, CA 90005-4277
Phone number: 312-810-0685
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