Individual
MICHELLE DENISE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16548 W ROWEL RD, SURPRISE, AZ 85387-6870
(602) 677-4369
Mailing address
16548 W ROWEL RD, SURPRISE, AZ 85387-6870
(602) 677-4369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-19073
AZ
101Y00000X
Counselor
Primary
LPC-21431
AZ
Other
Enumeration date
07/03/2020
Last updated
05/26/2023
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