Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH A VAUGHN JR., RC CADC I CRM QMHA
ActiveAddiction (Substance Use Disorder) Counselor · SALEM, OR
Registration Details
- NPI Number
- 1164582896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2006 (19.359905456055 yrs)
- Last Updated
- Nov 16, 2012
- Licenses
-
08-06-73 (OR)RC00052879 (WA)QMHA (OR)
Practice Information
- Address
-
3325 HAROLD DR NESALEM, OR, 973051339Browse OR providers · Browse ZIP 97305
- Phone
- 5033632021
- Fax
- 5033634820
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Counselor
- Additional Specialty
- Case Manager
Other Addiction (Substance Use Disorder) Counselor Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| MS. JAY M LAWSHE | CADCII, NCACII | 1245286194 |
| LORETTA ISLAS | CADC II | 1801838149 |
| MR. THOMAS GEORGE STUCK | M.A. | 1881607059 |
| MELVA JEANNETTE PENNE | MA, LPC, NCC, CGACII | 1679677926 |
| CAROL CHARLOTTE CHRISTENSEN | CADCIII QMHP | 1235293861 |
| MS. BARBARA L JOQUE | CADCI | 1548324056 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.