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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH JOHN DE HAAN, LCSW

Active Sole Proprietor

MR. KENNETH JOHN DE HAAN, LCSW is a Clinical Social Worker healthcare provider located in SAN PEDRO, California. NPI 1174643753 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAN PEDRO, CA

Registration Details

NPI Number
1174643753
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2007 (19.364588300461 yrs)
Last Updated
Jun 11, 2013
License
LCS13281 (CA)
Sole Proprietor
Yes

Practice Information

Address
704 WEST 8TH STREET
SAN PEDRO, CA, 90731
Browse CA providers · Browse ZIP 90731
Phone
3108327545
Fax
3108338580
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SAN PEDRO, CA

Name Credential NPI
MS. MAURA MARIE PAPAZIAN LSW,MSW 1952488009
MS. FLORESTEAN FLUCAS LCSW 1326127341
MS. KATHRYN LOUISE CRAIN L.C.S.W. 1740369461
MR. ANTHONY WILLIAM GLAVIS LCSW 1497824866
MS. LAURA MARIE NAVARRO PICKENS LCSW 1073683249
MRS. BELEN WILLIAMS LCSW 1275695645
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.