Bryson Kay Vaughan, LPC

NPI #1598192734 in Pocatello, Idaho

Provider Information

NPI Number
1598192734
Entity Type
Individual
Name
Bryson Kay Vaughan, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LPC
Enumeration Date
Oct 2, 2013
Last Updated
Oct 2, 2013

Practice Location

Address
110 S. 19TH AVE.
State
Idaho
ZIP Code
83201
Phone
(208) 234-4722

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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