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Individual

MARK ALAN VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
709 MANTLE DR APT D, BELGRADE, MT 59714-8379
(651) 600-0774
Mailing address
709 MANTLE DR APT D, BELGRADE, MT 59714-8379
(651) 600-0774

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-19032
MT

Other

Enumeration date
09/12/2016
Last updated
03/17/2018
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