Individual
MS. AVA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
108 AMELIA LN, MOORESVILLE, NC 28117-9457
(276) 708-6287
Mailing address
108 AMELIA LN, MOORESVILLE, NC 28117-9457
(276) 708-6287
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
276398
—
101YM0800X
Mental Health Counselor
276398
—
101YP2500X
Professional Counselor
Primary
0701007560
VA
Other
Enumeration date
01/12/2018
Last updated
12/18/2024
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