Individual
MR. TRACY KEVIN VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
25 S EWING ST STE 520, HELENA, MT 59601-5753
(317) 590-0405
Mailing address
PO BOX 7331, HELENA, MT 59604-7331
(317) 590-0405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SWP-LCPC-LIC-1457
MT
Other
Enumeration date
10/20/2009
Last updated
02/06/2014
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