Individual
JENE DENISE BUGENHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
678 TOM BREWER RD, LOGANVILLE, GA 30052-4005
(770) 354-7073
Mailing address
2643 MADISON MAE LN, GRAYSON, GA 30017-7822
(770) 354-7073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009841
GA
Other
Enumeration date
02/21/2024
Last updated
05/09/2026
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