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Mr. Willard Allen Vaughn, LPC
Professional Counselor in Hampton, Virginia
NPI 1760637219

Willard Allen Vaughn is a Professional Counselor based in Hampton, VA and is specialized in Professional. Willard Allen Vaughn practices in Hampton, VA and has the professional credentials of LPC. The NPI Number for Willard Allen Vaughn is 1760637219 and holds a License No. LC10487 (Virginia).

The current practice location address for Willard Allen Vaughn is 110 Coliseum Xing # 6045, Hampton, VA and can be reached out via phone at 833-464-5438 and via fax at 757-578-8226.

Location: 110 Coliseum Xing # 6045, Hampton, VA, 23666-5971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760637219
Provider Name
Willard Allen Vaughn
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
110 Coliseum Xing # 6045, Hampton, VA, 23666-5971
Phone Number
833-464-5438
Fax Number
757-578-8226
Provider Enumeration Date
11/25/2008
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
319116800 05 MD
30015303970001 05 VA
070892283 05 DC
30050538 05 IN
institution
Provider Business Practice Location Address Details
Address
110 Coliseum Xing # 6045
City
Hampton
State
Virginia
Zip
23666-5971
Phone Number
833-464-5438
Fax Number
757-578-8226
person
Provider Business Mailing Address Details
Address
110 Coliseum Xing # 6045
City
Hampton
State
Virginia
Zip
23666-5971
Phone Number
833-464-5438
Fax Number
757-578-8226
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
39003460A (Indiana)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PRC15236 (District of Columbia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LC10487 (Maryland)
Definition
Definition to come...
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