Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES MANDA, PHD
Active Sole ProprietorDR. CHARLES MANDA, PHD is a Pastoral Counselor healthcare provider located in WEST LIBERTY, Kentucky. NPI 1003481805 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · WEST LIBERTY, KY
Registration Details
- NPI Number
- 1003481805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2021 (5.2569945567375 yrs)
- Last Updated
- Jun 5, 2023
- License
-
267057 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 REVIS RDWEST LIBERTY, KY, 414727818Browse KY providers · Browse ZIP 41472
- Phone
- 5024363533
- Primary Specialty
-
Pastoral Counselor
101YP1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.