Individual provider · Type 1 NPI
Charles Manda, PhD
Pastoral Counselor · West Liberty, KY
NPI number
1003481805
Active
Practice location
24 Revis Rd
West Liberty, KY 41472-7818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | 267057 (KY) |
Pastoral Counselor: Definition to come...
About NPI 1003481805
Charles Manda, PhD's National Provider Identifier is 1003481805, issued on May 24, 2021. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in West Liberty, KY. The record was last updated on Jun 5, 2023.