Individual
STEPHANIE DIANE HALL-VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
607 CLIFTY ST STE 101, SOMERSET, KY 42503-1765
(800) 805-6989
Mailing address
704 GRIFFIN WAY, RICHMOND, KY 40475-8271
(606) 733-9149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
283415
KY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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