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Individual

SARAH VAUGHN

Active
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Individual

SARAH VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICDC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.1801383
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161481
OH
101YM0800X
Mental Health Counselor
QMHS
OH
101YP2500X
Professional Counselor
Primary
1801383
OH
175T00000X
Peer Specialist
PER.00371
OH

Other

Enumeration date
09/01/2017
Last updated
11/24/2018
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