Jackie Vaughn, LPC

NPI 1013159045 · on the registry since 2009

Practice

Address: 3800 Hulen St Ste 150
Fort Worth, TX 76107
Phone: (817) 255-2652
Fax: (817) 255-2657
Organisation at this address: David Back Clinic Of America
David Back Clinic Of America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas