Search › Idaho › 101YA0400X

Bryson Vaughan, LPC

NPI 1598192734 · on the registry since 2013 · sole proprietor

Practice

Address
110 S. 19th Ave.
Pocatello, ID 83201
Phone
(208) 234-4722
Clinicians at this address
7

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-10-02

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 Idaho