Individual
WARREN VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 W MENDENHALL ST STE B, BOZEMAN, MT 59715-3477
(406) 747-0473
Mailing address
860 ROGERS WAY, BOZEMAN, MT 59718-2660
(406) 747-0473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-43126
MT
Other
Enumeration date
05/06/2019
Last updated
04/05/2022
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