MEDICARE: MRS. CHRISTINE A VAUGHAN LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LC15702	MD

General Provider Information

NPI Number	:	1013631431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE A VAUGHAN LCPC

Provider Business Mailing Address
First Line	:	7100 GUILFORD DR STE 2025
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-5257
Country	:	US
Telephone Number	:	240-608-2484
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 GUILFORD DR STE 2025
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-5257
Country	:	US
Telephone Number	:	240-608-2484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2022
Last Update Date	:	11/18/2025

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