Individual provider · Type 1 NPI

Mariah Davidson-Vader, LPC

Professional Counselor · Gunnison, CO

NPI number 1922822246 Active

Practice location

1 Western Way, Crystal Hall 104
Gunnison, CO 81230

Call (970) 648-7128 Map

Mailing address

1021 W Denver Ave Apt A
Gunnison, CO 81230-3382

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XOTA.0000680 (CO)
Professional Counselor Primary 101YP2500XLPC.0021358 (CO)

Professional Counselor: Definition to come...

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About NPI 1922822246

Mariah Davidson-Vader, LPC's National Provider Identifier is 1922822246, issued on Nov 13, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gunnison, CO. The record was last updated on Nov 13, 2024.