| NPI | 1104464254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI PUGH Practice Owner & Counselor 872-252-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2020-07-05 |