Individual
HEATHER MARY DIANA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
1990 LOUISVILLE RD STE 110, BOWLING GREEN, KY 42101-1202
(270) 782-2100
(270) 782-2107
Mailing address
1990 LOUISVILLE RD STE 110, BOWLING GREEN, KY 42101-1202
(270) 782-2100
(270) 782-2107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
268883
KY
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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