Individual provider · Type 1 NPI

Kaila Formanek, LGSW

Mental Health Counselor · Minneapolis, MN

NPI number 1982313730 Active

Practice location

410 Church St SE
Minneapolis, MN 55455-0222

Call (612) 625-8400 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982313730

Kaila Formanek, LGSW's National Provider Identifier is 1982313730, issued on Nov 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 21, 2022.