Individual provider · Type 1 NPI

Glenn Vaughn, LCPC

Counselor · Coeur D Alene, ID

NPI number 1699164236 Active

Practice location

416 E Foster Ave, 2488 Merritt Creek Loop Suite Number 2C
Coeur D Alene, ID 83814-3045

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLCPC-5394 (ID)

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 1699164236

Glenn Vaughn, LCPC's National Provider Identifier is 1699164236, issued on Jan 20, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jan 20, 2015.