Organization
JENNIFER VAUGHN THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VAUGHN MS (LMFT)
(218) 820-6626
Entity
Organization
Contact information
Practice address
985 MARLIN PL W, SUITE 3, PILLAGER, MN 56473-2516
(218) 820-6626
Mailing address
985 MARLIN PL W, SUITE 3, PILLAGER, MN 56473-2516
(218) 820-6626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090
LICENSE
MN
Enumeration date
03/22/2016
Last updated
03/22/2016
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