Individual provider · Type 1 NPI
Demetrius Pugh
Mental Health Counselor · Edmond, OK
NPI number
1477979011
Active
Practice location
1919 E 2nd St, Apt 294
Edmond, OK 73034-6219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1477979011
Demetrius Pugh's National Provider Identifier is 1477979011, issued on Mar 6, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Mar 19, 2014.