Organization
BRYAN BUGAY, LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN BUGAY LCPC (CLINICAL DIRECTOR)
(773) 318-8959
Entity
Organization
Contact information
Practice address
550 W FRONTAGE RD, SUITE 3515, NORTHFIELD, IL 60093-1202
(773) 318-8959
Mailing address
550 W FRONTAGE RD, SUITE 3515, NORTHFIELD, IL 60093-1202
(773) 318-8959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005135
IL
1041C0700X
Clinical Social Worker
149009065
IL
Other
Enumeration date
05/09/2012
Last updated
05/15/2012
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