GLENN VAUGHN

COEUR D ALENE, ID
NPI1699164236
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCPC-5394)
Enumeration Date2015-01-20
Last Update Date2015-01-20
Business Address
-- GLENN VAUGHN LCPC
416 E FOSTER AVE 2488 MERRITT CREEK LOOP SUITE NUMBER 2C
COEUR D ALENE, ID 83814-3045
Phone number: 208-659-3931
Mailing Address
-- GLENN VAUGHN LCPC
416 E FOSTER AVE
COEUR D ALENE, ID 83814-3045
Phone number: 208-659-3931