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Individual
MICHAEL R KOVANDA
Active
Individual
MICHAEL R KOVANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180-001042
IL
101YP2500X
Professional Counselor
Primary
180001042
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180-001042
STATE LICENSE
IL
Enumeration date
03/09/2007
Last updated
08/07/2025
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