Individual
MS. MYRTLE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
4301 S PINE ST, SUITE 30-04, TACOMA, WA 98409-7264
(253) 473-2679
(253) 473-1406
Mailing address
4308 S ASOTIN ST, TACOMA, WA 98418-2435
(253) 473-0150
(253) 473-1406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CL 60160523
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL60160523
BEHAVIORAL HEALTH
WA
Enumeration date
08/05/2011
Last updated
08/05/2011
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