Individual
THERESA L VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
122030 NISSLER RD, BUTTE, MT 59701-9604
(406) 260-1595
Mailing address
122030 NISSLER RD, BUTTE, MT 59701-9604
(406) 260-1595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-81705
MT
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-64056
MT
101YS0200X
School Counselor
80984
MT
Other
Enumeration date
02/21/2025
Last updated
04/14/2026
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