Individual
LISA C MCCUE PUGRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
228 SHOUP AVE W, TWIN FALLS, ID 83301-5022
(208) 734-6760
Mailing address
228 SHOUP AVE W, TWIN FALLS, ID 83301-5022
(208) 734-6760
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-3768
ID
Other
Enumeration date
04/06/2007
Last updated
09/13/2010
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