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General NPI Number Information
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NPI Number | 1891648093
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Entity Type | Individual
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Provider Name | CIERRA MICHELLE PUGH ALC, NCC
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 2227 DRAKE AVE SW STE 10D
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City | HUNTSVILLE
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State | AL
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Zip | 35805-5192
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Country | US
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Telephone | 256-203-6542
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Fax |
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Provider Business Mailing Address
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Address Line | 12011 MEADOW PLACE LN
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City | MADISON
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State | AL
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Zip | 35757-5520
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Country | US
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Telephone |
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ALC05765
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License Number State | AL
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