Individual
ANACAROLINA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MED, LMHC
Contact information
Practice address
200 WAYMONT CT STE 126-10, LAKE MARY, FL 32746-3413
(321) 848-1916
(407) 603-0414
Mailing address
200 WAYMONT CT STE 126-10, LAKE MARY, FL 32746-3413
(321) 848-1916
(407) 603-0414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15912
FL
101YP2500X
Professional Counselor
Primary
MH15912
FL
103K00000X
Behavior Analyst
MH15912
FL
Other
Enumeration date
06/14/2017
Last updated
07/09/2020
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