Carol Daigle Ptacek, LPC | |
1126 Mo's Way, #2470, Mccall, ID 83638-2470 | |
(520) 780-6231 | |
Not Available |
Full Name | Carol Daigle Ptacek |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1126 Mo's Way, Mccall, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851012181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-5860 (Idaho) | Primary |
Entity Name | Brightside Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230524002881 |
Mailing Address | Practice Location Address |
---|---|
Carol Daigle Ptacek, LPC Po Box 2470, Mccall, ID 83638-2470 Ph: (520) 780-6231 | Carol Daigle Ptacek, LPC 1126 Mo's Way, #2470, Mccall, ID 83638-2470 Ph: (520) 780-6231 |
Heidy Mead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Commerce St Ste B, Mccall, ID 83638 Phone: 208-634-2962 Fax: 208-634-5064 | |
Kimberly L Batt, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-7272 Fax: 208-634-4588 | |
Yuri Davydov, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Samson Trl, Mccall, ID 83638 Phone: 208-830-8520 | |
Debra Ann Jones Yensen, ATR, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1242 Herrick Street N, Mccall, ID 83638 Phone: 208-630-4676 | |
Ashley Marie Hughes, M.ED, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 Mission St, Mccall, ID 83638 Phone: 208-369-0411 | |
Jocelyn Breanne Pulver, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1640 Forest Trails Dr, Mccall, ID 83638 Phone: 208-869-6903 | |
Ashley E Mccoy, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Deinhard Ln, Mccall, ID 83638 Phone: 208-630-2450 Fax: 208-634-4055 |