Ryan Bradley Vaughan, QMHA
Counselor, Mental Health in Prineville, OR. Individual provider (NPI-1).
NPI number1073710331
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1073710331
- Entity type
- Individual (NPI-1)
- Name
- Ryan Bradley Vaughan
- Credential
- QMHA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2007
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1059 Nw Madras HwyPrineville, OR 97754-1416
Phone 541-323-5330 · Fax 541-447-1121
Mailing address
60933 Clearmeadow CtBend, OR 97702-2794
Phone 541-350-1071
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All 75 Mental Health Counselor providers in Prineville · All 478 providers in Prineville
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