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Individual
CHARLES RANDEL BUGH
Active
Individual
CHARLES RANDEL BUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000805A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072460
SIHO PIN
IN
01
—
39000805A
MENTAL HEALTH COUNSELOR LICENSE
IN
Enumeration date
04/24/2008
Last updated
02/19/2025
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