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Search › California › 101YM0800X

Shane Niels, CADC-1

NPI 1437965621 · on the registry since 2024 · sole proprietor

Practice

Address
5723 Melrose Ave
Los Angeles, CA 90038
Phone
(312) 810-0685
Fax
(714) 242-7434
Organisation at this address
Ibh Cc Llc
Arise Treatment Homes Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2024-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California