Mark William Vaughn, CRM Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI

1972285682

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

T-23-3290 (OR)

Sex

Male

Sole proprietor

No

Enumerated

2023-08-02

Last updated

2023-11-09