Individual
MRS. REGINA LYNN VAUGHT-RUDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IADC
Contact information
Practice address
601 FOREST AVE, DES MOINES, IA 50314-2828
(515) 249-8596
(855) 631-0252
Mailing address
601 FOREST AVE, DES MOINES, IA 50314-2828
(515) 249-8596
(855) 631-0252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18002
IA
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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