# TIMOTHY L. VAUGHN COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902059876
- **Authorized official:** TIMOTHY LLOYD VAUGHN MA, LPC (LICENSED PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (304) 886-8975

## Contact information

- **Practice address:** 630 WINCHESTER AVE, MARTINSBURG, WV 25401-2102
- **Practice address phone:** (304) 886-8975
- **Mailing address:** 59 THORNBERRY DR, MARTINSBURG, WV 25403-8782
- **Mailing address phone:** (304) 886-8975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 1900 | WV | Yes |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 10/23/2008