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Pat Vaughn, MSED,LCPC
Counselor in Rockford, Illinois
NPI 1134258734

Pat Vaughn is a Counselor based in Rockford, IL. Pat Vaughn practices in Rockford, IL and has the professional credentials of MSED,LCPC. The NPI Number for Pat Vaughn is 1134258734 and holds a License No. (Illinois).

The current practice location address for Pat Vaughn is 4875 Manhattan Dr, Rockford, IL and can be reached out via phone at 815-227-4673. You can also correspond with Pat Vaughn through the mailing address at 4875 MANHATTAN DR, ROCKFORD, IL - 61108-2265 (mailing address contact number: 815-227-4673).

Location: 4875 Manhattan Dr, Rockford, IL, 61108-2265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134258734
Provider Name
Pat Vaughn
Credential
MSED,LCPC
Provider Entity Type
Individual
Gender
Female
Address
4875 Manhattan Dr, Rockford, IL, 61108-2265
Phone Number
815-227-4673
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209286 01 IL VALUE OPTIONS
10121306 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4875 Manhattan Dr
City
Rockford
State
Illinois
Zip
61108-2265
Phone Number
815-227-4673
Fax Number
person
Provider Business Mailing Address Details
Address
4875 Manhattan Dr
City
Rockford
State
Illinois
Zip
61108-2265
Phone Number
815-227-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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