Jennifer Vaughn Therapy Services | |
985 Marlin Pl W Suite 3 Pillager MN 56473-2516 | |
(218) 820-6626 | |
Not Available |
Full Name | Jennifer Vaughn Therapy Services |
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Speciality | Community/behavioral Health |
Location | 985 Marlin Pl W, Pillager, Minnesota |
Authorized Official Name and Position | Jennifer Vaughn (LMFT) |
Authorized Official Contact | 2188206626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jennifer Vaughn Therapy Services 985 Marlin Pl W Suite 3 Pillager MN 56473-2516 Ph: (218) 820-6626 | Jennifer Vaughn Therapy Services 985 Marlin Pl W Suite 3 Pillager MN 56473-2516 Ph: (218) 820-6626 |
NPI Number | 1700248465 |
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Provider Enumeration Date | 03/22/2016 |
Last Update Date | 03/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700248465 | NPI | - | NPPES |
2090 | Other | MN | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |