Individual
PAMELA VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6151 BUNCOMBE RD, SHREVEPORT, LA 71129-4109
(318) 990-9036
Mailing address
6151 BUNCOMBE RD, SHREVEPORT, LA 71129-4109
(318) 990-9036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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