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CHARLES RANDEL BUGH

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1073788758

Individual Registrant:
 CHARLES RANDEL BUGH 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
609 SPURGEON ST  SALEM, IN 47167-1655 US
Tel: 812-279-3591  Fax: --

Contact information for business:
609 SPURGEON ST  SALEM, IN 47167-1655 US
Tel: 812-279-3591  Fax: --

Registration Information:
NPI: 1073788758
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
IN39000805A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
SIHO PIN072460IN01
MENTAL HEALTH COUNSELOR LICENSE39000805AIN01




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