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Organization
JOSEPH H. VAUGHN
Active
Organization
JOSEPH H. VAUGHN
Active
Other names
New Hope Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H. VAUGHN PH.D. (OWNER)
(815) 227-4673
Entity
Organization
Contact information
Practice address
4875 MANHATTAN DR, ROCKFORD, IL 61108
(815) 227-4673
(815) 227-4675
Mailing address
4875 MANHATTAN DRIVE, ROCKFORD, IL 61108
(815) 227-4673
(815) 227-4675
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10121306
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/29/2006
Last updated
07/17/2008
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