Organization
VAUGHT CHRISTIAN COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE D VAUGHT MA LPC (CS IOT COORDINATOR)
(434) 392-3187
Entity
Organization
Contact information
Practice address
214 BUSH RIVER DRIVE, FARMVILLE, VA 23901
(434) 392-3187
(434) 392-5789
Mailing address
214 BUSH RIVER DRIVE, FARMVILLE, VA 23901
(434) 392-3187
(434) 392-5789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2459
CO
251S00000X
Community/Behavioral Health Agency
Primary
0701004337
VA
Other
Enumeration date
11/27/2006
Last updated
07/01/2008
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