Individual
FALLON ELLEN VAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
390 TOLL GATE RD STE 206, WARWICK, RI 02886-4351
(401) 384-0674
Mailing address
88 JANET DR, WARWICK, RI 02886-7424
(401) 384-0674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
Primary
MHC01955
RI
Other
Enumeration date
06/06/2019
Last updated
04/20/2026
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