Pugh, Kristina Marie
Pugh, Kristina Marie is an sole proprietor health care provider with primary practice located at 13802 Quintessa St , Caldwell ID 83607-5153. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pugh, Kristina Marie can be contacted via phone (801) 599-7123.Contact Information
Primary practice address
13802 Quintessa St
Caldwell ID 83607-5153
Phone: (801) 599-7123
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | X-07258 | New Mexico |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I 0800088 | Ohio |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-34310 | Idaho |
Profile Details
NPI number | 1003842741 |
---|---|
LBN Legal business name | Pugh, Kristina Marie |
Credentials | MSW, LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 24th, 2006 |
Last updated | Mar 9th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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