Individual
ANNA-THERESE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2738 E 00 NS, KOKOMO, IN 46901-6631
(765) 236-1964
(765) 236-1960
Mailing address
2738 E 00 NS, KOKOMO, IN 46901-6631
(765) 236-1964
(765) 236-1960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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