| Jennifer Vaughn Therapy Services | |
|
25282 Hazelwood Dr Nisswa MN 56468-2797 | |
| (218) 851-5484 | |
| Not Available |
| Full Name | Jennifer Vaughn Therapy Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25282 Hazelwood Dr, Nisswa, Minnesota |
| Authorized Official Name and Position | Jennifer Vaughn (LMFT) |
| Authorized Official Contact | 2188515484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Vaughn Therapy Services 25282 Hazelwood Dr Nisswa MN 56468-2797 Ph: (218) 851-5484 | Jennifer Vaughn Therapy Services 25282 Hazelwood Dr Nisswa MN 56468-2797 Ph: (218) 851-5484 |
| NPI Number | 1609290691 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609290691 | NPI | - | NPPES |
| 1710260708 | Other | NPI INDIVIDUAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2090 (Minnesota) | Primary |
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