Provider Demographics
NPI:1104073857
Name:TOMANEK, NANCY ANN (MA, LAMFT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:TOMANEK
Suffix:
Gender:F
Credentials:MA, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 CENTRAL AVE E
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-9511
Mailing Address - Country:US
Mailing Address - Phone:763-515-4563
Mailing Address - Fax:763-497-0552
Practice Address - Street 1:112 CENTRAL AVE E
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-9511
Practice Address - Country:US
Practice Address - Phone:763-515-4563
Practice Address - Fax:763-497-0552
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health