Individual
MRS. HAZEL JEANETTE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, NCC
Contact information
Practice address
1690 STONE VILLAGE LN NW STE 501, KENNESAW, GA 30152-7777
(706) 675-5366
Mailing address
1690 STONE VILLAGE LN NW STE 501, KENNESAW, GA 30152-7777
(706) 675-5366
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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