Vaughn, Willard Allen
Vaughn, Willard Allen is an individual health care provider with primary practice located at 1730 George Washington Mem Hwy Ste F-6 , Yorktown VA 23693-4328. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Vaughn, Willard Allen can be contacted via phone (833) 464-5438.Contact Information
Primary practice address
1730 George Washington Mem Hwy Ste F-6
Yorktown VA 23693-4328
Phone: (833) 464-5438
Fax: (757) 578-8226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LC10487 | Maryland |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0718000356 | Virginia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39003460A | Indiana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PRC15236 | District of Columbia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701007739 | Virginia |
Profile Details
| NPI number | 1760637219 |
|---|---|
| LBN Legal business name | Vaughn, Willard Allen |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2008 |
| Last updated | Mar 25th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760637219 | NPPES |
| District of Columbia | MEDICAID | 070892283 | |
| District of Columbia | MEDICAID | 30050538 |
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