NPI | 1598737868 |
---|---|
Other Name | CHUCK PUGH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 1236) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 9278) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2007-07-08 |