Mary Vaughan, CADC I - Counselor in Fresno, CA

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Mary Vaughan, CADC I is a Substance Abuse Rehabilitation Facility based in Fresno, California. Mary Vaughan is licensed to practice in California (license number 101YA04000X) and her current practice location is 2445 W Whites Bridge Ave, Fresno, California. She can be reached at her office (for appointments etc.) via phone at (559) 264-2551.

NPI number for Mary Vaughan is 1790138998 and her current mailing address is 1755 E Roberts Ave Apt 204, Fresno, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790138998.

Contact Information

Mary Vaughan, CADC I
2445 W Whites Bridge Ave,
Fresno, CA 93706-1225
(559) 264-2551
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMary Vaughan
GenderFemale
SpecialitySubstance Abuse Rehabilitation Facility
Location2445 W Whites Bridge Ave, Fresno, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790138998
  • Provider Enumeration Date: 07/22/2016
  • Last Update Date: 01/22/2019

Medical Identifiers

Medical identifiers for Mary Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790138998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility 101YA04000X (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Vaughan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Vaughan, CADC I
1755 E Roberts Ave Apt 204,
Fresno, CA 93710-6541

Ph: (559) 274-5543		Mary Vaughan, CADC I
2445 W Whites Bridge Ave,
Fresno, CA 93706-1225

Ph: (559) 264-2551

Reviews and Comments


Substance Abuse Rehabilitation Facility in Fresno, CA


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