Individual
SHELBY L. KANDZIORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-6530
(608) 741-6918
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-6530
(608) 741-6918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18012-130
WI
101YP2500X
Professional Counselor
Primary
3468-226
WI
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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