TAIZAK FORTNER AAC
NPI 1619641644
Counselor in Vancouver, WA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since August 03, 2021

6221 NE FOURTH PLAIN BLVD APT 130, VANCOUVER, WA 98661(360) 831-0908 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Taizak Fortner Aac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAIZAK FORTNER AAC (NPI 1619641644) is an individual counselor in Vancouver, Washington and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1619641644

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTAIZAK FORTNERCredential: AAC

Location Address6221 NE FOURTH PLAIN BLVD APT 130Vancouver, WA 98661-7210

Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-0502 · Fax (206) 764-0516

Phone(360) 831-0908

Sole ProprietorNo

Enumeration DateAugust 3, 2021

NPPES CertifiedAugust 3, 2021

✔ NPI 1619641644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

6221 NE FOURTH PLAIN BLVD APT 130, Vancouver, WA 98661

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