SearchIdaho101Y00000X

Glenn Vaughn, LCPC

NPI 1699164236 · on the registry since 2015 · sole proprietor

Practice

Address
416 E Foster Ave
2488 Merritt Creek Loop Suite Number 2c
Coeur D Alene, ID 83814
Phone
(208) 659-3931

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-20

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