Individual
MR. KEN SCHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 E MAIN ST, OLNEY, IL 62450-2114
(618) 392-3090
(618) 392-2754
Mailing address
PO BOX M, 504 MICAH DRIVE, OLNEY, IL 62450-0913
(618) 395-4306
(618) 395-4507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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