Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYSON KAY VAUGHAN, LPC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · POCATELLO, ID
Registration Details
- NPI Number
- 1598192734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2013 (12.55393200797 yrs)
- Last Updated
- Oct 2, 2013
- License
-
LPC-4103 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 S. 19TH AVE.POCATELLO, ID, 83201Browse ID providers · Browse ZIP 83201
- Phone
- 2082344722
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| DANIEL HOLSTEN | CADC | 1073159950 |
| SCOTT ENTRIKIN | SUDA | 1881275956 |
| TIFFANY CAMPBELL | — | 1245918093 |
| TAMI SMITH | CADC | 1700621737 |
| DYLAN BROWN | — | 1871322172 |
| JENNIFER BUNDERSON | — | 1790575355 |
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.