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KENNETH GAUGHAN LPC, NBCC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1841714581
Individual Registrant: KENNETH GAUGHAN LPC, NBCC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1030 15TH ST, NW SUITE B1-170 WASINGTON, DC 20005 US
Tel: 180-085-14390 Fax: --
Tel: 180-085-14390 Fax: --
Contact information for business:
1030 15TH ST NW STE B1-170 WASHINGTON, DC 20005-1503 US
Tel: 800-851-4390 Fax: --
Tel: 800-851-4390 Fax: --
Registration Information:
NPI: 1841714581
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | DC | PRC14016 |
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | DC | PRC14016 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
