MEDICARE: MATTHEW S VAUGHN MFT

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
1	106H00000X	Marriage & Family Therapist		WA

General Provider Information

NPI Number	:	1477336683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW S VAUGHN MFT

Provider Business Mailing Address
First Line	:	9948 DOTSON ST SE
Second Line	:
City	:	YELM
State	:	WA
Zip	:	98597-7728
Country	:	US
Telephone Number	:	360-870-3362
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 7TH AVE SE
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98503-1062
Country	:	US
Telephone Number	:	360-701-3372
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	11/25/2025

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Directions to “ MATTHEW S VAUGHN MFT” Practice Location

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