Individual provider · Type 1 NPI
Taylor Vickerman, LMHCA
Mental Health Counselor · Granger, WA
NPI number
1235945270
Active
Practice location
120 Van Belle Rd
Granger, WA 98932-9767
Mailing address
PO Box 83
Sunnyside, WA 98944-0083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MC61580875 (WA) |
Mental Health Counselor: Definition to come...
Another provider at this address
About NPI 1235945270
Taylor Vickerman, LMHCA's National Provider Identifier is 1235945270, issued on Dec 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Granger, WA. The record was last updated on Jun 12, 2025.