Search › Iowa › Mental Health Counselor
Jack Formanek, MS, LMHP
NPI 1285791376 · on the registry since 2007 · sole proprietor
Practice
- Address
- 307 E View Dr
Council Bluffs, IA 51503 - Phone
- (712) 325-1584
- Fax
- (712) 325-0546
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa