Individual
JASON VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHCA
Contact information
Practice address
10414 BEARDSLEE BLVD STE 100, BOTHELL, WA 98011-3205
(425) 486-0658
(425) 487-6761
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC61342590
WA
101YM0800X
Mental Health Counselor
MC61342590
WA
Other
Enumeration date
10/12/2022
Last updated
02/18/2025
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