Carol Pangburn
Carol Pangburn is a Mental Health Counselor in Eagle, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
3042 S Whitepost WayEagle, ID 83616-6461
Phone: (208) 939-7514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LCPC 168 (ID) |
|---|
Record details
| NPI number | 1205978095 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | January 13, 2008 |
| Mailing address | 3042 S Whitepost Way, Eagle, ID 83616-6461 |
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