Doctor Name: | MR. DAN PUGEL |
NPI Number: | 1184871733 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | 0870 |
Business Practice Address: | 101 Wind Haven Dr # A Suite 203 Nicholasville, KY - 403568035 |
Business Phone Number: | 8592199800 |
Business Fax Number: | 8592199883 |
Mailing Address: | 101 Wind Haven Dr # A, Suite 203 NICHOLASVILLE |
State: | KY |
Postal Code: | 403568035 |
Phone Number: | 8592199800 |
Fax Number: | 8592199883 |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 08/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |