Provider Demographics
NPI:1457654915
Name:VAUGHT, CHRISTOPHER ANDY (NCC, LPCC, LMHC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ANDY
Last Name:VAUGHT
Suffix:
Gender:M
Credentials:NCC, LPCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 SEASONS RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-6525
Mailing Address - Country:US
Mailing Address - Phone:270-313-4855
Mailing Address - Fax:
Practice Address - Street 1:1900 STRINGTOWN RD
Practice Address - Street 2:SUITE 208C
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-4522
Practice Address - Country:US
Practice Address - Phone:270-313-4855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1285101YP2500X
IN99053159A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional