Individual
DR. CHRISTY VAUGHN COUNCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3725 NATIONAL DR STE 114, RALEIGH, NC 27612-4879
(919) 784-0508
(919) 212-7024
Mailing address
7233 MINE SHAFT RD, RALEIGH, NC 27615-6019
(919) 676-5718
(919) 212-7024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2994
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000739
—
NC
Enumeration date
03/13/2007
Last updated
01/15/2009
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