Individual
STEFANY VAUGHN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
1411 N RACE ST, GLASGOW, KY 42141-3474
(270) 479-8900
(877) 308-1668
Mailing address
1411 N RACE ST, GLASGOW, KY 42141-3474
(270) 479-8900
(877) 308-1668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
175254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100496490
—
KY
Enumeration date
12/12/2017
Last updated
06/30/2025
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