Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK FORMANEK, MS, LMHP
Active Sole ProprietorJACK FORMANEK, MS, LMHP is a Mental Health Counselor healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1285791376 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · COUNCIL BLUFFS, IA
Registration Details
- NPI Number
- 1285791376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2007 (19.593383536711 yrs)
- Last Updated
- Jul 8, 2007
- License
-
205 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
307 E VIEW DRCOUNCIL BLUFFS, IA, 515030464Browse IA providers · Browse ZIP 51503
- Phone
- 7123251584
- Fax
- 7123250546
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in COUNCIL BLUFFS, IA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARILYN MARLAINE STARK | LMHC ACAPC LMHP LAPC | 1942292636 |
| MS. MORGAN MELANIE KUPSINEL | LISW, LIMHP, IADC | 1629023312 |
| MS. PATRICIA JO SALVO-MCGINN | M.S. | 1265479653 |
| MR. EARL TODD ANDERSON | LMHC | 1598708034 |
| MR. RICHARD OLIVER MATLAND | MSW, LISW | 1295847838 |
| CATHIE R KEISTER | L.M.H.C., L.M.H.P. | 1720162134 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.