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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