Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 9760 | SC |
N | 101YP1600X | Pastoral Counselor | ||
Y | 1041C0700X | Clinical Social Worker | C-10764 | NM |
N | 1041C0700X | Clinical Social Worker | C004826 | NC |
N | 1041C0700X | Clinical Social Worker | CSW003315 | GA |
NPI | 1164544607 |
---|---|
Provider Name | Anne Harriette Bugel |
First Address | Albuquerque, NM 87106-1666 |
Second Address | Albuquerque, NM 87106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 03/10/2019 |