Individual
ANNA ELIZABETH FORMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
151 SAINT ANDREWS CT STE 710, MANKATO, MN 56001-8815
(507) 386-7121
(507) 344-0690
Mailing address
151 SAINT ANDREWS CT STE 710, MANKATO, MN 56001-8815
(507) 386-7121
(507) 344-0690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4327
MN
101YP2500X
Professional Counselor
Primary
4327
MN
Other
Enumeration date
03/06/2024
Last updated
03/11/2024
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