Individual provider · Type 1 NPI

Taylor Kristine Vacca, MA, BS

Professional Counselor · Blaine, MN

NPI number 1164007282 Active

Practice location

10729 Town Square Dr NE Ste 120
Blaine, MN 55449-7923

Fax (763) 343-9011

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1164007282

Taylor Kristine Vacca, MA, BS's National Provider Identifier is 1164007282, issued on Mar 10, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blaine, MN. The record was last updated on Sep 9, 2022.