person
Jack Formanek, MS,LMHP
Mental Health Counselor in Council Bluffs, Iowa
NPI 1285791376

Jack Formanek is a Mental Health Counselor based in Council Bluffs, IA and is specialized in Mental Health. Jack Formanek practices in Council Bluffs, IA and has the professional credentials of MS,LMHP. The NPI Number for Jack Formanek is 1285791376 and holds a License No. 205 (Iowa).

The current practice location address for Jack Formanek is 307 E View Dr, Council Bluffs, IA and can be reached out via phone at 712-325-1584 and via fax at 712-325-0546.

Location: 307 E View Dr, Council Bluffs, IA, 51503-0464
person
Provider Profile Details
NPI Number
1285791376
Provider Name
Jack Formanek
Credential
MS,LMHP
Provider Entity Type
Individual
Gender
Male
Address
307 E View Dr, Council Bluffs, IA, 51503-0464
Phone Number
712-325-1584
Fax Number
712-325-0546
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
307 E View Dr
City
State
Zip
51503-0464
Phone Number
712-325-1584
Fax Number
712-325-0546
person
Provider Business Mailing Address Details
Address
307 E View Dr
City
State
Zip
51503-0464
Phone Number
712-325-1584
Fax Number
712-325-0546
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
205 (Iowa)
Definition
Definition to come...
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