Carole Renee Sandusky, LPC

NPI #1811409154 in Carmi, Illinois

Provider Information

NPI Number: 1811409154
Entity Type: Individual
Name: Carole Renee Sandusky, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Oct 26, 2017
Last Updated: Oct 26, 2017

Practice Location

Address: 1705 COLLEGE AVE
City: Carmi
State: Illinois
ZIP Code: 62821
Phone: (618) 382-7311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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