IndividualActive
Charles Manda, PHD
NPI 1003481805 · Pastoral Counselor · West Liberty, KY
Provider details
- NPI number
- 1003481805
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 267057 (KY)
Mailing address
24 Revis Rd
West Liberty, KY 41472-7818
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.