Provider Demographics
NPI:1609009604
Name:BUGARO, ALE (MA, LCPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:ALE
Middle Name:
Last Name:BUGARO
Suffix:
Gender:F
Credentials:MA, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4162 COVE LN APT B
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-3569
Mailing Address - Country:US
Mailing Address - Phone:847-778-2648
Mailing Address - Fax:
Practice Address - Street 1:1580 S MILWAUKEE AVE STE 512
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3776
Practice Address - Country:US
Practice Address - Phone:847-778-2648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
IL180007765101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional