| Jennifer Vaughn Therapy Services | |
|
985 Marlin Pl W Suite 3 Pillager MN 56473-2516 | |
| (218) 820-6626 | |
| Not Available |
| Full Name | Jennifer Vaughn Therapy Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 985 Marlin Pl W, Pillager, Minnesota |
| Authorized Official Name and Position | Jennifer Vaughn (LMFT) |
| Authorized Official Contact | 2188206626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Vaughn Therapy Services 985 Marlin Pl W Suite 3 Pillager MN 56473-2516 Ph: (218) 820-6626 | Jennifer Vaughn Therapy Services 985 Marlin Pl W Suite 3 Pillager MN 56473-2516 Ph: (218) 820-6626 |
| NPI Number | 1700248465 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700248465 | NPI | - | NPPES |
| 2090 | Other | MN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |