Vaughn, Jackie

Vaughn, Jackie is an individual health care provider with primary practice located at 1570 Waverly Rd , Kingsport TN 37664-2523. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Vaughn, Jackie can be contacted via phone (423) 224-1300.

Contact Information

Primary practice address
1570 Waverly Rd Kingsport TN 37664-2523
Phone: (423) 224-1300
Fax: (423) 224-1375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1326188830
LBN Legal business name Vaughn, Jackie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jun 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers