Individual
JENNIFER L VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
Mailing address
504 ROSEWOOD DR, BENTON, AR 72015-3972
(501) 326-6160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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