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Individual

HOLLAN PUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
116 BAY ST, DAYTONA BEACH, FL 32114-3234
(386) 244-7763
Mailing address
116 BAY ST, DAYTONA BEACH, FL 32114-3234
(386) 589-7833

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH10323
FL
101YM0800X
Mental Health Counselor
MH10323
FL

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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