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Individual

CAROL DAIGLE PTACEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1126 MO'S WAY, #2470, MCCALL, ID 83638-2470
(520) 780-6231
Mailing address
PO BOX 2470, MCCALL, ID 83638-2470
(520) 780-6231

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
TPMC3513
FL
101YP2500X
Professional Counselor
LPC-21854
AZ
101YP2500X
Professional Counselor
Primary
LPC-5860
ID

Other

Enumeration date
09/06/2022
Last updated
03/16/2026
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