Individual provider · Type 1 NPI
Jeremy Tyler Vaughn
Counselor · Las Vegas, NV
NPI number
1669096871
Active
Practice location
3606 N Rancho Dr Ste 102
Las Vegas, NV 89130-3196
Mailing address
3370 Saint Rose Pkwy Apt 411
Henderson, NV 89052-4241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1669096871
Jeremy Tyler Vaughn's National Provider Identifier is 1669096871, issued on Jun 3, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 3, 2020.