Individual
MS. WENDY CAROL VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1905 SUNSET BLVD, WEST COLUMBIA, SC 29169-5955
(803) 200-2509
Mailing address
1304 SUNSET BLVD STE 1185, WEST COLUMBIA, SC 29169-5914
(803) 200-2509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8431
SC
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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