Provider Demographics
NPI:1306834932
Name:BUGG, RUBY WADE (NCC, NCSC, LPC)
Entity Type:Individual
Prefix:MS
First Name:RUBY
Middle Name:WADE
Last Name:BUGG
Suffix:
Gender:F
Credentials:NCC, NCSC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BAYSWATER PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8635
Mailing Address - Country:US
Mailing Address - Phone:919-401-5535
Mailing Address - Fax:
Practice Address - Street 1:1709 LEGION ROAD
Practice Address - Street 2:SUITE 112 &113
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-968-4444
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health