Organization
JOSEPH H. VAUGHN
Active
Other names
New Hope Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H. VAUGHN PH.D. (OWNER)
(815) 227-4673
Entity
Organization
Contact information
Practice address
4875 MANHATTAN DR, ROCKFORD, IL 61108
(815) 227-4673
(815) 227-4675
Mailing address
4875 MANHATTAN DRIVE, ROCKFORD, IL 61108
(815) 227-4673
(815) 227-4675
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10121306
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/29/2006
Last updated
07/17/2008
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