| NPI | 1902059876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LLOYD VAUGHN Licensed Professional Counselor 304-886-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1900) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |