Individual
MRS. MYRNA B. VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 SW JEFFERSON ST, SUITE 206, LEES SUMMIT, MO 64063-3988
(816) 554-7705
(816) 554-7706
Mailing address
600 SW JEFFERSON ST, SUITE 206, LEES SUMMIT, MO 64063-3988
(816) 554-7705
(816) 554-7706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002366
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MANAGED HEALTH CARE
PROVIDER
MO
01
—
ST. LUKE'S HEALTHCAR
PROVIDER/EAP
MO
01
—
UNITED BEHAVIORAL HE
PROVIDER
MO
Enumeration date
06/01/2006
Last updated
07/03/2008
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