Individual
PAMELA M VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504
(616) 235-2910
(616) 235-1436
Mailing address
7240 RIVERDELL FARMS RD, LOWELL, MI 49331
(616) 897-3059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
07010001257
VA
101YP2500X
Professional Counselor
6401010056
MI
106H00000X
Marriage & Family Therapist
0717000110
VA
106H00000X
Marriage & Family Therapist
Primary
4101006334
MI
Other
Enumeration date
09/28/2005
Last updated
09/11/2025
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