Individual
CHRISTINA VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2840 ELECTRIC RD, SUITE 200, ROANOKE, VA 24018-3551
(540) 772-5140
Mailing address
6236 NELL CIR, ROANOKE, VA 24019-5412
(540) 293-7601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006381
VA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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