| Bryan Bugay, Lcpc | |
|
550 W Frontage Rd Suite 3515 Northfield IL 60093-1202 | |
| (773) 318-8959 | |
| Not Available |
| Full Name | Bryan Bugay, Lcpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 550 W Frontage Rd, Northfield, Illinois |
| Authorized Official Name and Position | Bryan Bugay (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7733188959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Bugay, Lcpc 550 W Frontage Rd Suite 3515 Northfield IL 60093-1202 Ph: (773) 318-8959 | Bryan Bugay, Lcpc 550 W Frontage Rd Suite 3515 Northfield IL 60093-1202 Ph: (773) 318-8959 |
| NPI Number | 1801155080 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801155080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180005135 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | 149009065 (Illinois) | Secondary |
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