Individual
KATHERINE IVEY MARIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
11757 WILD PEAR LN, FORT WORTH, TX 76244-8816
(817) 657-4631
Mailing address
11757 WILD PEAR LN, FORT WORTH, TX 76244-8816
(817) 657-4631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
204361
TX
101YP1600X
Pastoral Counselor
204361
TX
101YP2500X
Professional Counselor
204361
TX
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
204361
TX
Other
Enumeration date
04/19/2022
Last updated
04/20/2022
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