Individual
MRS. LATOYA BURNS VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CADC
Contact information
Practice address
1351 NEWTOWN PIKE, BUILDING 5, LEXINGTON, KY 40511-1275
(859) 253-1686
Mailing address
3460 WOODSPRING DR, LEXINGTON, KY 40515-5857
(859) 948-8401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1193
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168726
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
05
—
80240
—
KY
Enumeration date
01/31/2012
Last updated
07/19/2016
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