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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROL PANGBURN

Active Sole Proprietor

CAROL PANGBURN is a Mental Health Counselor healthcare provider located in EAGLE, Idaho. NPI 1205978095 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · EAGLE, ID

Registration Details

NPI Number
1205978095
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2007 (19.457008462969 yrs)
Last Updated
Jan 13, 2008
License
LCPC 168 (ID)
Sole Proprietor
Yes

Practice Information

Address
3042 S WHITEPOST WAY
EAGLE, ID, 836166461
Browse ID providers · Browse ZIP 83616
Phone
2089397514
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in EAGLE, ID

Name Credential NPI
MS. GLORIA S GELEYNSE M.ED., LCPC 1396715603
JUDITH L. JOHNSON APRN, CNS 1366536948
HEATHER L GLAZA LCPC 1750438388
BRENDA PICKETT LCSW 1609917293
AUSTIN M REED 1437281755
MS. KRISTI LYNN SHOHET MS, LCPC 1518181395
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.