Gaughan, Kenneth

Gaughan, Kenneth is an sole proprietor health care provider with primary practice located at 1030 15Th St, Nw Suite B1-170, Wasington DC 20005. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gaughan, Kenneth can be contacted via phone 18008514390.

Contact Information

Primary practice address
1030 15Th St, Nw Suite B1-170 Wasington DC 20005
Phone: 18008514390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PRC14016 District of Columbia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PRC14016 District of Columbia

Profile Details

NPI number 1841714581
LBN Legal business name Gaughan, Kenneth
Credentials LPC, NBCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2017
Last updated May 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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