Individual
KRISTEN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 MCCALLIE AVE, CHATTANOOGA, TN 37403-2504
(423) 425-4438
Mailing address
615 MCCALLIE AVE, CHATTANOOGA, TN 37403-2504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2796
TN
101YP2500X
Professional Counselor
APC002065
GA
Other
Enumeration date
08/08/2008
Last updated
09/28/2020
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