Individual
MICHAEL VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 NW BRIARCLIFF PKWY STE 200, KANSAS CITY, MO 64116-1772
(816) 590-0700
Mailing address
15320 GRAND SUMMIT EXT APT 204, GRANDVIEW, MO 64030-4828
(540) 718-9534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015034334
MO
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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