Individual
ANGELA D VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1409 OLD DOMINION BLVD, BEDFORD, VA 24523-3285
(540) 586-5429
Mailing address
1409 OLD DOMINION BLVD, BEDFORD, VA 24523-3285
(540) 586-5429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003204
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945441
—
VA
01
—
145102
ANTHEM BLUE SHIELD
VA
01
—
367190
MHN
VA
01
—
540843527007
HEALTHNET FEDERAL
VA
01
—
O84916
SENTARA
VA
Enumeration date
09/27/2006
Last updated
10/31/2023
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