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Mark William Vaughn, CRM
Addiction (Substance Use Disorder) Counselor in Bend, Oregon
NPI 1972285682

Mark William Vaughn is an Addiction (Substance Use Disorder) Counselor based in Bend, OR and is specialized in Addiction (Substance Use Disorder). Mark William Vaughn practices in Bend, OR and has the professional credentials of CRM. The NPI Number for Mark William Vaughn is 1972285682 and holds a License No. 23-CRM-2206 (Oregon).

The current practice location address for Mark William Vaughn is 23 Nw Greenwood Ave, Bend, OR and can be reached out via phone at 541-383-4293.

Location: 23 Nw Greenwood Ave, Bend, OR, 97702-3788
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972285682
Provider Name
Mark William Vaughn
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
23 Nw Greenwood Ave, Bend, OR, 97702-3788
Phone Number
541-383-4293
Fax Number
Provider Enumeration Date
08/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23 Nw Greenwood Ave
City
Bend
State
Oregon
Zip
97703-2078
Phone Number
541-383-4293
Fax Number
person
Provider Business Mailing Address Details
Address
23 Nw Greenwood Ave
City
Bend
State
Oregon
Zip
97703-2078
Phone Number
541-383-4293
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
T-23-3290 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
23-CRM-2206 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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