IndividualActive
Taylor Vickerman, LMHCA
NPI 1235945270 · Mental Health Counselor · Granger, WA
Provider details
- NPI number
- 1235945270
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHCA
- Sex
- Male
- Sole proprietor
- No
- License
- MC61580875 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
120 Van Belle Rd
Granger, WA 98932-9767
Phone: (509) 594-4917
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 83
Sunnyside, WA 98944-0083
Registry dates
- Enumerated
- 2024-12-04
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.