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Individual

JEREME T. VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4880 OLD AIRPORT RD, FAIRBANKS, AK 99709-4456
(907) 313-1333
Mailing address
4880 OLD AIRPORT RD, FAIRBANKS, AK 99709-4456
(907) 313-1333

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AK

Other

Enumeration date
07/24/2019
Last updated
09/18/2025
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