Individual
STACY LYNN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Contact information
Practice address
1941 S 42ND ST STE 210, OMAHA, NE 68105-2946
(402) 813-0501
Mailing address
1941 S 42ND ST STE 210, OMAHA, NE 68105-2946
(402) 813-0501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
954
NE
101YM0800X
Mental Health Counselor
Primary
1318
NE
Other
Enumeration date
04/19/2013
Last updated
03/26/2015
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