Individual
JENNIFER N VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
1501 MADISON ROAD, CINCINNATI, OH 45206-1706
(513) 354-5200
(513) 354-7115
Mailing address
1501 MADISON ROAD, CINCINNATI, OH 45206-1706
(513) 354-5200
(513) 354-7115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-0003879-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250852
ANTHEM PIN
OH
01
—
11749390
CAQH #
—
01
—
62-00070
UNITED PROVIDER ID
OH
Enumeration date
06/27/2006
Last updated
03/17/2025
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