Individual
MS. PSHANDA CHANTE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1208 DUNRAVEN CT, CONWAY, SC 29527-3170
(843) 283-4789
Mailing address
1208 DUNRAVEN CT, CONWAY, SC 29527-3170
(843) 283-4789
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9172
NC
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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