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Charles Randel Bugh
Mental Health Counselor in Salem, Indiana
NPI 1073788758

Charles Randel Bugh is a Mental Health Counselor based in Salem, IN and is specialized in Mental Health. Charles Randel Bugh practices in Salem, IN. The NPI Number for Charles Randel Bugh is 1073788758 and holds a License No. 39000805A (Indiana).

The current practice location address for Charles Randel Bugh is 609 Spurgeon St, Salem, IN and can be reached out via phone at 812-279-3591.

Location: 609 Spurgeon St, Salem, IN, 47167-1655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073788758
Provider Name
Charles Randel Bugh
Credential
Provider Entity Type
Individual
Gender
Male
Address
609 Spurgeon St, Salem, IN, 47167-1655
Phone Number
812-279-3591
Fax Number
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39000805A 01 IN MENTAL HEALTH COUNSELOR LICENSE
072460 01 IN SIHO PIN
institution
Provider Business Practice Location Address Details
Address
609 Spurgeon St
City
Salem
State
Indiana
Zip
47167-1655
Phone Number
812-279-3591
Fax Number
person
Provider Business Mailing Address Details
Address
609 Spurgeon St
City
Salem
State
Indiana
Zip
47167-1655
Phone Number
812-279-3591
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39000805A (Indiana)
Definition
Definition to come...
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