Provider Demographics
NPI:1184871733
Name:PUGEL, DAN (LPCC)
Entity type:Individual
Prefix:MR
First Name:DAN
Middle Name:
Last Name:PUGEL
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WIND HAVEN DR # A
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8035
Mailing Address - Country:US
Mailing Address - Phone:859-219-9800
Mailing Address - Fax:859-219-9883
Practice Address - Street 1:101 WIND HAVEN DR # A
Practice Address - Street 2:SUITE 203
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-8035
Practice Address - Country:US
Practice Address - Phone:859-219-9800
Practice Address - Fax:859-219-9883
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0870101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional