Individual
ANDREA MARKEISHA PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
856 TEXAS AVE, SHREVEPORT, LA 71101
(318) 918-8816
(318) 227-6179
Mailing address
856 TEXAS AVE, SHREVEPORT, LA 71101-3400
(318) 918-8816
(318) 227-6179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6372
LA
101YM0800X
Mental Health Counselor
Primary
85622
TX
101YM0800X
Mental Health Counselor
C7396
OR
101YM0800X
Mental Health Counselor
LC14744
MD
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/13/2015
Last updated
05/13/2025
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