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Organization
PALECEK THERAPY AND CONSULTING LLC
Active
Organization
PALECEK THERAPY AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PALECEK NCC, LPC, QMHP (THERAPIST)
(605) 222-4398
Entity
Organization
Contact information
Practice address
2218 JACKSON BLVD STE 13, RAPID CITY, SD 57702-3452
(605) 222-4398
(605) 791-0122
Mailing address
2218 JACKSON BLVD STE 13, RAPID CITY, SD 57702-3452
(605) 467-5847
(605) 791-0122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528699493
NPI II
SD
01
—
LPC-MH30602
SD BOARD OF EXAMINERS
SD
Enumeration date
01/30/2020
Last updated
04/09/2020
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