Individual
MR. MARK ANTHONY VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
129 W TATTERSALL DR, STATESVILLE, NC 28677-2054
(704) 528-1258
Mailing address
129 W TATTERSALL DR, STATESVILLE, NC 28677-2054
(704) 528-1258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4674
NC
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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