Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mason Nickerson

Individual provider Mental Health Counselor · NPI 1790608396

Mason Nickerson is a Mental Health Counselor in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

3205 NE 78th St Ste 104
Vancouver, WA 98665-0697
Phone: (360) 504-6657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (WA)

Record details

NPI number1790608396
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2026
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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