Individual
DAMISE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
(914) 902-5055
Mailing address
45 WAYNE AVE, STONY POINT, NY 10980-2800
(201) 526-5057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015186-01
NY
Other
Enumeration date
08/31/2022
Last updated
10/09/2024
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