Kenneth Gaughan, LPC, NBCC

NPI #1841714581 in Wasington, District of Columbia

Provider Information

NPI Number: 1841714581
Entity Type: Individual
Name: Kenneth Gaughan, LPC, NBCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: LPC, NBCC
Enumeration Date: Aug 2, 2017
Last Updated: May 19, 2019

Practice Location

Address: 1030 15TH ST, NW
Address 2: SUITE B1-170
City: Wasington
State: District of Columbia
ZIP Code: 20005
Phone: 18008514390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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