Individual
ELIZABETH DEBOE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
276 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1949
(704) 360-3637
Mailing address
276 OLD MOCKSVILLE RD STE 100, STATESVILLE, NC 28625-1951
(704) 360-3637
(704) 200-9829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13796
NC
101YP2500X
Professional Counselor
13796
NC
Other
Enumeration date
05/02/2018
Last updated
01/02/2024
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