Individual provider · Type 1 NPI
Mimi Pugh, LADC
Addiction (Substance Use Disorder) Counselor · Manchester, CT
NPI number
1003644618
Active
Practice location
73 Walnut St
Manchester, CT 06040-4954
Mailing address
14 Hazard Ave # 23
Enfield, CT 06082-3713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1574 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003644618
Mimi Pugh, LADC's National Provider Identifier is 1003644618, issued on Jul 24, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Manchester, CT. The record was last updated on Jul 24, 2024.