Individual provider · Type 1 NPI
Kristan Vaughn
Mental Health Counselor · Philadelphia, PA
NPI number
1346790979
Active
Practice location
1922 W Carey St
Philadelphia, PA 19140-3521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1346790979
Kristan Vaughn's National Provider Identifier is 1346790979, issued on Oct 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 6, 2016.