Individual provider · Type 1 NPI

Ginger Vaughn

Addiction (Substance Use Disorder) Counselor · Lodi, CA

NPI number 1619444700 Active

Practice location

441 S Ham Ln Ste A
Lodi, CA 95242-3525

Call (209) 224-8940 Map

Fax (209) 224-5076

Mailing address

1629 Sunset Ave
Stockton, CA 95205-3006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1619444700

Ginger Vaughn's National Provider Identifier is 1619444700, issued on Oct 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lodi, CA. The record was last updated on Oct 27, 2018.