Organization
RAINTREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D.A. VAUGHN PH.D. (PRESIDENT)
(910) 323-2875
Entity
Organization
Contact information
Practice address
804 STAMPER RD, SUITE 101, FAYETTEVILLE, NC 28303-4379
(910) 323-2875
(910) 323-1355
Mailing address
804 STAMPER RD, SUITE 101, FAYETTEVILLE, NC 28303-4379
(910) 323-2875
(910) 323-1355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
50018
NC
101YM0800X
Mental Health Counselor
MHL-026-176
NC
Other
Enumeration date
01/23/2007
Last updated
09/11/2025
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