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NPI Code Detail

MEDICARE: DEBBIE VAUGHAN LCPC

MEDICARE: DEBBIE 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
1101Y00000XCounselorLPCIL
2101YP2500XProfessional Counselor180007399IL

General Provider Information

NPI Number : 1134452642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBIE VAUGHAN LCPC
Provider Business Mailing Address
First Line : 2948 ARTESIAN RD STE 112
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-8559
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2948 ARTESIAN RD STE 112
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-8559
Country : US
Telephone Number : 630-428-7890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2009
Last Update Date : 08/03/2020

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Directions to “ DEBBIE VAUGHAN LCPC” Practice Location

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