Individual provider · Type 1 NPI

Jennifer Pugh

Professional Counselor · Decatur, IL

NPI number 1265821599 Active

Practice location

151 N Main St
Decatur, IL 62523-1206

Fax (217) 362-6290

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178010423 (IL)

Professional Counselor: Definition to come...

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About NPI 1265821599

Jennifer Pugh's National Provider Identifier is 1265821599, issued on Jan 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Jan 9, 2015.