Vaughn, Michael Shannon

Vaughn, Michael Shannon is an sole proprietor health care provider with primary practice located at 6997 Crow Rd , San Antonio TX 78263-6245. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Vaughn, Michael Shannon can be contacted via phone (210) 792-4603.

Contact Information

Primary practice address
6997 Crow Rd San Antonio TX 78263-6245
Phone: (210) 792-4603
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15076-0899 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 36728 Texas

Profile Details

NPI number 1396028668
LBN Legal business name Vaughn, Michael Shannon
Credentials LCSW, ADC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2011
Last updated Jun 20th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396028668 NPPES
Texas Other 15076-0899 TCBAP
Texas Other 36728 TCBAP

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