Pat Vaughn is a Counselor in Rockford, Illinois. Pat Vaughn practices all healthcare services and medical treatments related to Counselor. The NPI Number for Pat Vaughn is 1134258734. The last update date is 2007-07-08.
Pat Vaughn's current location address is 4875 Manhattan Dr, Rockford, Illinois. You can contact this provider via phone number 8152274673. The mailing address for Pat Vaughn is 4875 Manhattan Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pat Vaughn |
|---|---|
| Address | 4875 Manhattan Dr, Rockford, Illinois |
| Phone Number | 8152274673 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS.ED., LC |
NPI Number Detail
| NPI Number | 1134258734 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4875 Manhattan Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082265 |
| Phone Number | 8152274673 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209286 | IL | VALUE OPTIONS | |
| 10121306 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pat Vaughn by the Centers for Medicare & Medicaid Services?
The Pat Vaughn has been issued the NPI (National Provider Identifier) 1134258734, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pat Vaughn is located?
The Pat Vaughn is situated at the following address: 4875 Manhattan Dr, Rockford, IL, 611082265.
What is Pat Vaughn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pat Vaughn's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134258734 to Pat Vaughn?
The Pat Vaughn received its 1134258734 assignment from the Centers for Medicare & Medicaid Services on 2007-03-02.
As of what date were the details pertaining to Pat Vaughn last refreshed?
The information related to the Pat Vaughn, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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