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Individual

MRS. HAZEL JEANETTE VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPC, NCC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
015435
GA
101YS0200X
School Counselor
1616642
GA

Other

Enumeration date
09/08/2022
Last updated
02/20/2025
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