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General NPI Number Information
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NPI Number | 1598737868
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Entity Type | Individual
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Provider Name | CHARLES LANGSTON PUGH LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 900 8TH ST SUITE 716
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City | WICHITA FALLS
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State | TX
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Zip | 76301-6801
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Country | US
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Telephone | 940-767-4303
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Fax | 940-767-4313
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Provider Business Mailing Address
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Address Line | 4404 YORK ST
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City | WICHITA FALLS
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State | TX
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Zip | 76309-4014
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Country | US
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Telephone | 940-691-2883
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Fax | 940-767-4313
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1236
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9278
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License Number State | TX
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