MEDICARE: TONESIA K VAUGHN PLPC

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	101YP2500X	Professional Counselor	2008035370	MO

General Provider Information

NPI Number	:	1770191488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONESIA K VAUGHN PLPC

Provider Business Mailing Address
First Line	:	7817 GREEN ST
Second Line	:
City	:	LENEXA
State	:	KS
Zip	:	66227-3556
Country	:	US
Telephone Number	:	913-671-9896
Fax Number	:

Provider Business Practice Location Address
First Line	:	7140 WORNALL RD STE 205
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-1369
Country	:	US
Telephone Number	:	816-531-6030
Fax Number	:

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

Provider Enumeration Date	:	07/20/2020
Last Update Date	:	09/17/2024

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