Individual
BRIAN STEPHEN VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
150 OLDE GREENWICH DRIVE, SUITE 210, FREDERICKSBURG, VA 22408-4002
(540) 847-2876
(540) 371-4333
Mailing address
150 OLDE GREENWICH DR STE 210, FREDERICKSBURG, VA 22408-4002
(540) 847-2876
(540) 371-4333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007559
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07007559
THERAPIST
VA
Enumeration date
03/22/2018
Last updated
03/22/2018
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