Individual
DOMINIQUE LEMAR VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
5200 PARK RD STE 218B, CHARLOTTE, NC 28209-3650
(866) 700-1606
Mailing address
2030 WOCCON PATH, WINSTON SALEM, NC 27127-9422
(336) 671-0961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13138
NC
Other
Enumeration date
09/05/2017
Last updated
11/05/2024
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