Jack Formanek, MS, LMHP is a mental health counselor in Council Bluffs, IA. Jack Formanek, MS, LMHP NPI is 1285791376. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
307 E VIEW DR
COUNCIL BLUFFS, IA
ZIP 51503-464
Phone: (712) 325-1584
Fax: (712) 325-0546
The enumeration date for this NPI number is 1/2/2007 and was last updated on 7/8/2007.