Individual
MS. JENNIFER ANNE-SONG VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
617 OAK ST, BRAINERD, MN 56401-3610
(218) 851-5484
Mailing address
4682 WILDERNESS CT # 103, BRAINERD, MN 56401-2834
(218) 820-6626
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2090
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710260708
—
MN
Enumeration date
09/26/2011
Last updated
05/04/2026
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