Individual provider · Type 1 NPI

Robin L. Formick, E.0004226

Mental Health Counselor · Ravenna, OH

NPI number 1104044585 Active

Practice location

520 N Chestnut St
Ravenna, OH 44266-2218

Call (330) 296-5552 Map

Mailing address

4070 Sabin Dr
Rootstown, OH 44272-9617

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE0004226 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1104044585

Robin L. Formick, E.0004226's National Provider Identifier is 1104044585, issued on Apr 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ravenna, OH. The record was last updated on Jul 8, 2007.