Individual provider · Type 1 NPI

Taizak Fortner, AAC

Counselor · Vancouver, WA

NPI number 1619641644 Active

Practice location

6221 NE Fourth Plain Blvd Apt 130
Vancouver, WA 98661-7210

Call (360) 831-0908 Map

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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.

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About NPI 1619641644

Taizak Fortner, AAC's National Provider Identifier is 1619641644, issued on Aug 3, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 3, 2021.