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General NPI Number Information
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NPI Number | 1720800881
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Entity Type | Organization
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Legal Business Name | VAUGHN COUNSELING, LLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1247 RUCKER BLVD STE A
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City | ENTERPRISE
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State | AL
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Zip | 36330-3631
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Country | US
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Telephone | 334-714-6819
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Fax |
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Provider Business Mailing Address
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Address Line | 108 STRATFORD RD
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City | DOTHAN
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State | AL
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Zip | 36303-9343
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Country | US
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Telephone | 334-714-6819
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | KENA DIANE VAUGHN
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Credential | LPC
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Telephone | 334-714-6819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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