Individual
DR. AUNDRA SIMMONS VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15938 US HIGHWAY 17, TOWNSEND, GA 31331-3706
(912) 342-2788
(877) 408-8199
Mailing address
1038 BREEZE WAY AVE NE, TOWNSEND, GA 31331-6511
(912) 342-2788
(877) 408-8199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
008947
GA
101YM0800X
Mental Health Counselor
008947
GA
101YP2500X
Professional Counselor
Primary
008947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003201308A
—
GA
Enumeration date
07/20/2017
Last updated
12/02/2019
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