Individual provider · Type 1 NPI
Katherine Anne Formentini
Professional Counselor · New Lenox, IL
NPI number
1861048993
Active
Practice location
1414 Eagle Vista Dr
New Lenox, IL 60451-2315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.015057 (IL) |
Professional Counselor: Definition to come...
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About NPI 1861048993
Katherine Anne Formentini's National Provider Identifier is 1861048993, issued on Aug 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Lenox, IL. The record was last updated on Aug 14, 2019.