Vaughn, Kenneth A

Vaughn, Kenneth A is an individual health care provider with primary practice located at 3325 Harold Dr Ne , Salem OR 97305-1339. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Vaughn, Kenneth A can be contacted via phone (503) 363-2021.

Contact Information

Primary practice address
3325 Harold Dr Ne Salem OR 97305-1339
Phone: (503) 363-2021
Fax: (503) 363-4820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 08-06-73 Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X RC00052879 Washington
Other Service Providers / Case Manager/Care Coordinator 171M00000X QMHA Oregon

Profile Details

NPI number 1164582896
LBN Legal business name Vaughn, Kenneth A
Credentials RC CADC I CRM QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Nov 16th, 2012 - about 13 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.

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