Individual
MRS. ALVA ALTHEA PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1433 5TH ST NW, NEW PHILADELPHIA, OH 44663
(330) 343-8171
(330) 260-5298
Mailing address
1104 FIELDSTONE CIR NE, BOLIVAR, OH 44612-8666
(330) 224-0571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1200542
OH
101YM0800X
Mental Health Counselor
Primary
1200542
OH
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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