Provider Demographics
NPI:1679953061
Name:VAUGHN, JULIANNE ELIZABETH (MA)
Entity type:Individual
Prefix:MS
First Name:JULIANNE
Middle Name:ELIZABETH
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 CASHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5007
Mailing Address - Country:US
Mailing Address - Phone:775-233-9343
Mailing Address - Fax:
Practice Address - Street 1:3011 CASHILL BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5007
Practice Address - Country:US
Practice Address - Phone:775-233-9343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor