Individual
CHARLES RANDEL BUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2759 STATE ROAD 37, MITCHELL, IN 47446-6016
(812) 992-5440
(812) 992-5441
Mailing address
2759 STATE ROAD 37, MITCHELL, IN 47446-6016
(812) 992-5440
(812) 992-5441
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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