KIMBERLEY LEE COOK-VAUGHN LADC #624
NPI 1699092809
Counselor in Tahlequah, OK

Active since April 27, 2010
2511 S MUSKOGEE AVE, TAHLEQUAH, OK 74464(918) 431-0634(918) 431-0654 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberley Lee Cook-vaughn Ladc #624 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLEY LEE COOK-VAUGHN LADC #624 (NPI 1699092809) is an individual counselor in Tahlequah, Oklahoma, licensed in Oklahoma (624) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1699092809
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLEY LEE COOK-VAUGHNCredential: LADC #624
Location Address2511 S MUSKOGEE AVETahlequah, OK 74464-5459
Mailing Address2511 S Muskogee AveTahlequah, OK 74464-5459 · (918) 431-0634 · Fax (918) 431-0654
Fax(918) 431-0654
Sole ProprietorNo
Enumeration DateApril 27, 2010
Last NPPES UpdateOctober 21, 2015
NPI 1699092809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OK · 624
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2511 S MUSKOGEE AVE, Tahlequah, OK 74464

Accepted Insurance

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
2511 S MUSKOGEE AVE
TAHLEQUAH, OK 74464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699092809, enumerated as an "individual" on April 27, 2010.

The provider is located at 2511 S MUSKOGEE AVE TAHLEQUAH, OK 74464 and the phone number is (918) 431-0634.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma,. Please consult your insurance carrier or call the provider to verify.