Individual
MEREDITH VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5626 COLTON DR, ATLANTA, GA 30342-1347
(678) 522-9458
Mailing address
5626 COLTON DR, ATLANTA, GA 30342-1347
(678) 522-9458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC004353
GA
101YM0800X
Mental Health Counselor
Primary
LPC009509
GA
Other
Enumeration date
05/21/2015
Last updated
03/14/2017
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