Individual provider · Type 1 NPI

Dominique Lemar Vaughan, LCMHC

Mental Health Counselor · Charlotte, NC

NPI number 1689192239 Active

Practice location

5200 Park Rd Ste 218B
Charlotte, NC 28209-3650

Mailing address

2030 Woccon Path
Winston Salem, NC 27127-9422

Other practice locations

  • 2035 Woccon Path, Winston Salem, NC 27127-9422 · (336) 671-0961
  • 8007 N Point Blvd, Winston Salem, NC 27106-3268 · (866) 700-1606

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X13138 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1689192239

Dominique Lemar Vaughan, LCMHC's National Provider Identifier is 1689192239, issued on Sep 5, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Nov 5, 2024.