person
Katherine Anne Formentini
Professional Counselor in New Lenox, Illinois
NPI 1861048993

Katherine Anne Formentini is a Professional Counselor based in New Lenox, IL and is specialized in Professional. Katherine Anne Formentini practices in New Lenox, IL. The NPI Number for Katherine Anne Formentini is 1861048993 and holds a License No. 178.015057 (Illinois).

The current practice location address for Katherine Anne Formentini is 1414 Eagle Vista Dr, New Lenox, IL and can be reached out via phone at 815-931-2060.

Location: 1414 Eagle Vista Dr, New Lenox, IL, 60451-2315
person
Provider Profile Details
NPI Number
1861048993
Provider Name
Katherine Anne Formentini
Credential
Provider Entity Type
Individual
Gender
Female
Address
1414 Eagle Vista Dr, New Lenox, IL, 60451-2315
Phone Number
815-931-2060
Fax Number
Provider Enumeration Date
08/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1414 Eagle Vista Dr
City
State
Zip
60451-2315
Phone Number
815-931-2060
Fax Number
person
Provider Business Mailing Address Details
Address
1414 Eagle Vista Dr
City
State
Zip
60451-2315
Phone Number
815-931-2060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.015057 (Illinois)
Definition
Definition to come...
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