Individual
SHANNON R VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAADC
Contact information
Practice address
6574 CHURCH RD, SLATINGTON, PA 18080-4209
(484) 241-1570
Mailing address
6574 CHURCH RD, SLATINGTON, PA 18080-4209
(484) 241-1570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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