Individual
DR. CHERYL LYNN PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5301 W WASHINGTON BLVD FL 2, CHICAGO, IL 60644-3496
(312) 316-7223
Mailing address
5301 W WASHINGTON BLVD FL 2, CHICAGO, IL 60644-3496
(312) 316-7223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26802
IL
101YM0800X
Mental Health Counselor
Primary
180008113
IL
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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