Individual
TIMOTHY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
312 W KING ST, MARTINSBURG, WV 25401-3202
(304) 886-8975
Mailing address
908 HALLMARK DR, MARTINSBURG, WV 25403-2212
(304) 886-8975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701007378
VA
101YP2500X
Professional Counselor
Primary
LPC1900
WV
Other
Enumeration date
09/03/2008
Last updated
05/20/2019
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