Individual
VANESSA EILEEN PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCPC
Contact information
Practice address
3225 MAGNOLIA CT, BETTENDORF, IA 52722-2364
(563) 940-6153
Mailing address
3225 MAGNOLIA CT, BETTENDORF, IA 52722-2364
(563) 940-6153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
098859
IA
101YM0800X
Mental Health Counselor
180.013643
IL
Other
Enumeration date
02/03/2017
Last updated
07/22/2024
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