Carol Pangburn Valid NPI

Individual provider · Mental Health Counselor · Eagle, ID

NPI

1205978095

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

LCPC 168 (ID)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-02-12

Last updated

2008-01-13