Taizak Fortner, AAC
Taizak Fortner, AAC is a Counselor in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2021.
- Licensed in
- WA
- In the registry since
- 2021
Practice location Address checks out
6221 NE Fourth Plain Blvd Apt 130Vancouver, WA 98661-7210
Phone: (360) 831-0908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (WA) |
|---|
Record details
| NPI number | 1619641644 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AAC |
| Sole proprietor | No |
| NPI enumerated | August 3, 2021 |
| Last updated in NPPES | August 3, 2021 |
| Certification date | August 3, 2021 |
| Mailing address | Po Box 34703, Seattle, WA 98124-1703 |
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