Individual
MS. DONNA VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
169 MAIN ST FL 3, MIDDLETOWN, CT 06457-3423
(203) 819-0789
Mailing address
169 MAIN ST FL 3, MIDDLETOWN, CT 06457-3423
(203) 819-0789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001812A
IN
101YP2500X
Professional Counselor
7137
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073590
—
IN
Enumeration date
11/21/2006
Last updated
07/23/2024
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