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Vaughn Gordon
Professional Counselor in Rapid City, South Dakota
NPI 1225257900

Vaughn Gordon is a Professional Counselor based in Martin, SD and is specialized in Professional. Vaughn Gordon practices in Rapid City, SD. The NPI Number for Vaughn Gordon is 1225257900 and holds a License No. 1159 (South Dakota).

The current practice location address for Vaughn Gordon is 350 Elk St, Rapid City, SD and can be reached out via phone at 605-343-7262 and via fax at 605-343-7293.

Location: 350 Elk St, Rapid City, SD, 57551-0762
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Provider Profile Details
NPI Number
1225257900
Provider Name
Vaughn Gordon
Credential
Provider Entity Type
Individual
Gender
Male
Address
350 Elk St, Rapid City, SD, 57551-0762
Phone Number
605-343-7262
Fax Number
605-343-7293
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4993249 01 SD BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
350 Elk St
City
State
Zip
57701-7351
Phone Number
605-343-7262
Fax Number
605-343-7293
person
Provider Business Mailing Address Details
Address
350 Elk St
City
State
Zip
57701-7351
Phone Number
605-343-7262
Fax Number
605-343-7293
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1159 (South Dakota)
Definition
Definition to come...
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