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NPI Code Detail

MEDICARE: JENNIFER ANN VAUGHN MS, LMHC

MEDICARE: JENNIFER ANN VAUGHN MS, LMHC
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
1101YM0800XMental Health CounselorMH14741FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447508452
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANN VAUGHN MS, LMHC
Provider Business Mailing Address
First Line : 5642 JONES ST
Second Line :
City : MILTON
State : FL
Zip : 32570-2304
Country : US
Telephone Number : 850-626-7779
Fax Number : 850-626-7171
Provider Business Practice Location Address
First Line : 5642 JONES ST
Second Line :
City : MILTON
State : FL
Zip : 32570-2304
Country : US
Telephone Number : 850-626-7779
Fax Number : 850-626-7171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2012
Last Update Date : 08/12/2022

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