Individual
CAROLE RENEE SANDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1705 COLLEGE AVE, CARMI, IL 62821
(618) 382-7311
(618) 382-7552
Mailing address
1705 COLLEGE AVE, CARMI, IL 62821
(618) 382-7311
(618) 382-7552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.013318
IL
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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