Provider Demographics
NPI:1700492113
Name:PUGH, CHRISTOPHER D (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:D
Last Name:PUGH
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:D
Other - Last Name:PUGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:19731 34TH DR SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-7224
Mailing Address - Country:US
Mailing Address - Phone:360-631-4339
Mailing Address - Fax:
Practice Address - Street 1:19731 34TH DR SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-7224
Practice Address - Country:US
Practice Address - Phone:360-631-4339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health