Healthcare Provider Details

I. General information

NPI: 1144397654
Provider Name (Legal Business Name): WILLIAM CLIFFORD HAUGHN LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 CORDAGE PARK CIR STE 123
PLYMOUTH MA
02360-7320
US

IV. Provider business mailing address

30 JACQUELINE LN
PLYMOUTH MA
02360-4672
US

V. Phone/Fax

Practice location:
  • Phone: 508-927-6920
  • Fax: 508-689-7695
Mailing address:
  • Phone: 508-746-9049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: