Individual
JESSICA A PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9403 POCAHONTAS TRL # A, PROVIDENCE FORGE, VA 23140-3404
(804) 727-8970
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014699
VA
Other
Enumeration date
10/31/2023
Last updated
07/11/2025
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