Individual
DORIAN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 798-6793
Mailing address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
03/16/2020
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