Individual
JOANNA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505-5650
(616) 956-9608
(616) 956-8033
Mailing address
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505-5650
(616) 956-9608
(616) 956-8033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2011
Last updated
01/15/2013
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