Timothy Vaughn, LPC
Counselor, Professional in Martinsburg, WV. Individual provider (NPI-1).
NPI number1760630743
StatusActive
Last updated in NPPESMay 20, 2019
Details
- NPI
- 1760630743
- Entity type
- Individual (NPI-1)
- Name
- Timothy Vaughn
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2008
- Last updated
- May 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC1900 | WV | Yes |
| 101YP2500X | Counselor, Professional | 0701007378 | VA |
Practice location
312 W King StMartinsburg, WV 25401-3202
Phone 304-886-8975
Mailing address
908 Hallmark DrMartinsburg, WV 25403-2212
Phone 304-886-8975
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