Individual
KENA DIANE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1247 RUCKER BLVD STE A, ENTERPRISE, AL 36330-3631
(334) 714-6819
Mailing address
1247 RUCKER BLVD STE A, ENTERPRISE, AL 36330-3631
(334) 714-6819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC05029
AL
Other
Enumeration date
10/28/2024
Last updated
01/07/2025
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