Individual provider · Type 1 NPI

Jackie Wayne Vaughn Jr., LPC

Professional Counselor · Fort Worth, TX

NPI number 1013159045 Active

Practice location

3800 Hulen St Ste 150
Fort Worth, TX 76107-7254

Call (817) 255-2652 Map

Fax (817) 255-2657

Mailing address

3131 Sanguinet St
Fort Worth, TX 76107-5336

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X57085 (TX)

Professional Counselor: Definition to come...

3 other providers at this address

Other professional counselor providers in Fort Worth

See all in Fort Worth →

About NPI 1013159045

Jackie Wayne Vaughn Jr., LPC's National Provider Identifier is 1013159045, issued on Apr 6, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 17, 2012.