Provider Demographics
NPI:1356820435
Name:VAUGHN, ASHLEY BLAIR (MS, LMFT,)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BLAIR
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:MS, LMFT,
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:BLAIR
Other - Last Name:VAUGHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BLAIR VAUGHN, MS
Mailing Address - Street 1:4987 TAMARAC ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3269
Mailing Address - Country:US
Mailing Address - Phone:303-482-6363
Mailing Address - Fax:
Practice Address - Street 1:4987 TAMARAC ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3269
Practice Address - Country:US
Practice Address - Phone:303-482-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001892101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health