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Provider Information for 1962624122


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Mr. STEVEN W VAUGHAN LPC-S


Sex: Male

NPI: 1962624122
Last Updated: 2023-06-28
Certification Date: 2023-06-28

Details

NameValue
NPI1962624122
Enumeration Date2007-05-03
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 507 E FRANKLIN ST
HILLSBORO, TX 76645-3023
United States

Phone: 817-301-7083 | Fax:888-696-2894
 
Primary Practice Address 507 E FRANKLIN ST
HILLSBORO, TX 76645-3023
United States

Phone: 817-301-7083 | Fax:888-696-2894
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX184763403
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX60315