Individual
ANNETTE LYNN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23981 SHERILTON VALLEY RD, DESCANSO, CA 91916-9740
(619) 445-0405
(619) 445-9028
Mailing address
23981 SHERILTON VALLEY RD, DESCANSO, CA 91916-9740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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