JESSICA LYNN VAUGHN LPC LCASA NPI 1417484304

NPI Information

NPI: 1417484304
Provider Name: JESSICA LYNN VAUGHN, LPC, LCASA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3640 WESTGATE CENTER CIR STE A
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 407-2878
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Jessica Lynn Vaughn, LPC, LCASA is a professional counselor in Winston Salem, NC. Jessica Lynn Vaughn, LPC, LCASA NPI is 1417484304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3640 WESTGATE CENTER CIR STE A
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 407-2878

The enumeration date for this NPI number is 5/22/2017 and was last updated on 10/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	A13097	NORTH CAROLINA	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCAS-23280	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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