Individual provider · Type 1 NPI

John Joseph Vaughan Jr.

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1992232680 Active

Practice location

1901 Cleveland Ave Ste B
Santa Rosa, CA 95401-4298

Mailing address

9308 Champs De Elysees
Forestville, CA 95436-9518

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1251570517 (CA)

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

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About NPI 1992232680

John Joseph Vaughan Jr.'s National Provider Identifier is 1992232680, issued on May 12, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on May 12, 2017.