person
Michael R Kovanda, MA
Mental Health Counselor in Galesburg, Illinois
NPI 1598897274

Michael R Kovanda is a Mental Health Counselor based in Galesburg, IL and is specialized in Mental Health. Michael R Kovanda practices in Galesburg, IL and has the professional credentials of MA. The NPI Number for Michael R Kovanda is 1598897274 and holds a License No. 180-001042 (Illinois).

The current practice location address for Michael R Kovanda is 2323 Windish Dr, Galesburg, IL and can be reached out via phone at 309-344-4200 and via fax at 309-344-4281.

Location: 2323 Windish Dr, Galesburg, IL, 61401-9780
person
Provider Profile Details
NPI Number
1598897274
Provider Name
Michael R Kovanda
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
2323 Windish Dr, Galesburg, IL, 61401-9780
Phone Number
309-344-4200
Fax Number
309-344-4281
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180-001042 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2323 Windish Dr
City
State
Zip
61401-9780
Phone Number
309-344-4200
Fax Number
309-344-4281
person
Provider Business Mailing Address Details
Address
2323 Windish Dr
City
State
Zip
61401-9780
Phone Number
309-344-4200
Fax Number
309-344-4281
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180-001042 (Illinois)
Definition
Definition to come...
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