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Mr. John Joseph Vaughan JR.
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1992232680

John Joseph Vaughan JR. is an Addiction (Substance Use Disorder) Counselor based in Forestville, CA and is specialized in Addiction (Substance Use Disorder). John Joseph Vaughan JR. practices in Santa Rosa, CA. The NPI Number for John Joseph Vaughan JR. is 1992232680 and holds a License No. R1251570517 (California).

The current practice location address for John Joseph Vaughan JR. is 1901 Cleveland Ave Ste B, Santa Rosa, CA and can be reached out via phone at 707-576-0818.

Location: 1901 Cleveland Ave Ste B, Santa Rosa, CA, 95436-9518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992232680
Provider Name
John Joseph Vaughan JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1901 Cleveland Ave Ste B, Santa Rosa, CA, 95436-9518
Phone Number
707-576-0818
Fax Number
Provider Enumeration Date
05/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1901 Cleveland Ave Ste B
City
Santa Rosa
State
California
Zip
95401-4298
Phone Number
707-576-0818
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Cleveland Ave Ste B
City
Santa Rosa
State
California
Zip
95401-4298
Phone Number
707-576-0818
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.
R1251570517 (California)
Definition
Definition to come...
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