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Individual

KURTIS JAMES PUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
124 MCCLURE AVE, NAMPA, ID 83651-2025
(719) 369-6063
Mailing address
16848 CHAMBERS WAY, CALDWELL, ID 83607-5518
(719) 369-6063
(801) 373-0639

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6461673
ID

Other

Enumeration date
06/11/2014
Last updated
09/27/2024
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