Individual provider · Type 1 NPI

Mary Vaughn

Mental Health Counselor · Jackson, MS

NPI number 1619681483 Active

Practice location

4780 I 55 N Ste 105
Jackson, MS 39211-5542

Fax (601) 956-4817

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619681483

Mary Vaughn's National Provider Identifier is 1619681483, issued on Jan 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Jan 6, 2023.