Individual
ADRIENNE P DE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LMHC
Contact information
Practice address
144 MCBRIDE ST., THE ENGLISH HIGH SCHOOL, JAMAICA PLAIN, MA 02130-4013
(617) 637-0704
Mailing address
144 MCBRIDE ST., STUDENT DEVELOPMENT, BOSTON, MA 02130-4013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7136
MA
101YS0200X
School Counselor
411529
MA
104100000X
Social Worker
313335
MA
Other
Enumeration date
10/10/2019
Last updated
08/05/2025
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