Individual provider · Type 1 NPI

Kenneth A. Vaughn Jr., RC CADC I CRM QMHA

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1164582896 Active

Practice location

3325 Harold Dr NE
Salem, OR 97305-1339

Fax (503) 363-4820

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X08-06-73 (OR)
Counselor 101Y00000XRC00052879 (WA)
Case Manager/Care Coordinator 171M00000XQMHA (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164582896

Kenneth A. Vaughn Jr., RC CADC I CRM QMHA's National Provider Identifier is 1164582896, issued on Dec 11, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Nov 16, 2012.