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Bryson Kay Vaughan, LPC
Addiction (Substance Use Disorder) Counselor in Pocatello, Idaho
NPI 1598192734

Bryson Kay Vaughan is an Addiction (Substance Use Disorder) Counselor based in Pocatello, ID and is specialized in Addiction (Substance Use Disorder). Bryson Kay Vaughan practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for Bryson Kay Vaughan is 1598192734 and holds a License No. LPC-4103 (Idaho).

The current practice location address for Bryson Kay Vaughan is 110 S. 19Th Ave., Pocatello, ID and can be reached out via phone at 208-234-4722. You can also correspond with Bryson Kay Vaughan through the mailing address at 110 S 19TH AVE, POCATELLO, ID - 83201-3312 (mailing address contact number: 208-234-4722).

Location: 110 S. 19Th Ave., Pocatello, ID, 83201-3312
person
Provider Profile Details
NPI Number
1598192734
Provider Name
Bryson Kay Vaughan
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
110 S. 19Th Ave., Pocatello, ID, 83201-3312
Phone Number
208-234-4722
Fax Number
Provider Enumeration Date
10/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 S. 19Th Ave.
City
State
Zip
83201
Phone Number
208-234-4722
Fax Number
person
Provider Business Mailing Address Details
Address
110 S. 19Th Ave.
City
State
Zip
83201
Phone Number
208-234-4722
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC-4103 (Idaho)
Definition
Definition to come...
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