Individual
DOMINIQUE NICOLE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
537 LENOXPLACE CIR # 537, RALEIGH, NC 27603-1679
(252) 287-0648
Mailing address
537 LENOXPLACE CIR # 537, RALEIGH, NC 27603-1679
(252) 287-0648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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