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Mrs. Bertha Vaughn, AMFT,APCC
Mental Health Counselor in Riverside, California
NPI 1245986603

Bertha Vaughn is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Bertha Vaughn practices in Riverside, CA and has the professional credentials of AMFT,APCC. The NPI Number for Bertha Vaughn is 1245986603 and holds a License No. (California).

The current practice location address for Bertha Vaughn is 1845 Chicago Ave Ste B, Riverside, CA and can be reached out via phone at 951-465-3664.

Location: 1845 Chicago Ave Ste B, Riverside, CA, 92503-3538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245986603
Provider Name
Bertha Vaughn
Credential
AMFT,APCC
Provider Entity Type
Individual
Gender
Female
Address
1845 Chicago Ave Ste B, Riverside, CA, 92503-3538
Phone Number
951-465-3664
Fax Number
Provider Enumeration Date
02/24/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E2935267 01 CA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
1845 Chicago Ave Ste B
City
Riverside
State
California
Zip
92507-2366
Phone Number
951-465-3664
Fax Number
person
Provider Business Mailing Address Details
Address
1845 Chicago Ave Ste B
City
Riverside
State
California
Zip
92507-2366
Phone Number
951-465-3664
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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