CEDRIC LEON PUGH NPI 1073027199

NPI Information

  • NPI: 1073027199
  • Provider Name: CEDRIC LEON PUGH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3300 CHURN CREEK RD
    REDDING, CA
    ZIP 96002
  • Phone: (530) 232-1824

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NPI Details

Cedric Leon Pugh is a mental health counselor in Redding, CA. Cedric Leon Pugh NPI is 1073027199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3300 CHURN CREEK RD
REDDING, CA
ZIP 96002-513
Phone: (530) 232-1824

The enumeration date for this NPI number is 11/28/2017 and was last updated on 11/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1261QM0855XMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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