Individual provider · Type 1 NPI

Shelby L. Kandziora, LPC-IT, SAC-IT

Professional Counselor · Janesville, WI

NPI number 1972038958 Active

Practice location

903 Mineral Point Ave
Janesville, WI 53548-2970

Call (608) 756-6530 Map

Fax (608) 741-6918

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18012-130 (WI)
Professional Counselor Primary 101YP2500X3468-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1972038958

Shelby L. Kandziora, LPC-IT, SAC-IT's National Provider Identifier is 1972038958, issued on Apr 27, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Janesville, WI. The record was last updated on Apr 27, 2017.