VAUGHN EAGLEBEAR NPI 1962602557

NPI Information

NPI: 1962602557
Provider Name: VAUGHN EAGLEBEAR
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1803 W MAXWELL AVE
SPOKANE, WA
ZIP 99201
Phone: (509) 325-5502
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Vaughn Eaglebear is an addiction (substance use disorder) counselor in Spokane, WA. Vaughn Eaglebear NPI is 1962602557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1803 W MAXWELL AVE
SPOKANE, WA
ZIP 99201-831
Phone: (509) 325-5502

The enumeration date for this NPI number is 7/20/2007 and was last updated on 7/20/2007.

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	101YM0800X	Counselor	Mental Health	CP00005604	WASHINGTON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP00005604	WASHINGTON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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