Individual
ANA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 303, JACKSON, CA 95642-0303
(209) 442-1818
Mailing address
PO BOX 303, JACKSON, CA 95642-0303
(209) 442-1818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5304
NE
1041C0700X
Clinical Social Worker
Primary
121084
CA
1041C0700X
Clinical Social Worker
1831
NE
Other
Enumeration date
08/05/2014
Last updated
04/29/2024
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