Individual
MARK VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1740 RIDGE AVE STE 305, EVANSTON, IL 60201-5909
(312) 899-6184
Mailing address
2619 CENTRAL ST APT 3, EVANSTON, IL 60201-6415
(619) 952-8263
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001204
IL
Other
Enumeration date
08/30/2016
Last updated
11/30/2020
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