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General NPI Number Information
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NPI Number | 1639953797
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Entity Type | Individual
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Provider Name | CASSAUNDRA VAUGHN LPC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 1550 N MILFORD RD STE 101B
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City | MILFORD
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State | MI
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Zip | 48381-1058
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Country | US
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Telephone | 248-462-6530
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 N MILFORD RD STE 10B
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City | MILFORD
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State | MI
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Zip | 48381-1058
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Country | US
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Telephone | 248-266-2840
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401225564
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License Number State | MI
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