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Individual

DIANE DONOVAN-VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT LADC

Contact information

Practice address
8440 W LAKE MEAD BLVD STE 212, LAS VEGAS, NV 89128-7648
(702) 256-6090
(731) 549-2504
Mailing address
PO BOX 729, DECATURVILLE, TN 38329-0729
(702) 256-6090
(702) 256-1310

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC 332
NV
106H00000X
Marriage & Family Therapist
Primary
MFT0371
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A934671
VALUE OPTIONS
Enumeration date
07/31/2006
Last updated
06/15/2025
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