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NPI Code Detail

MEDICARE: KRISTIN VAUGHN LPC

MEDICARE: KRISTIN VAUGHN LPC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1982176640
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN VAUGHN LPC
Provider Business Mailing Address
First Line : 1737 KING ST STE 330
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2760
Country : US
Telephone Number : 703-375-9393
Fax Number :
Provider Business Practice Location Address
First Line : 1737 KING ST STE 330
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2760
Country : US
Telephone Number : 703-375-9393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 06/08/2026

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Directions to “ KRISTIN VAUGHN LPC” Practice Location

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