Mariah Davidson-Vader, LPC

NPI #1922822246 in Gunnison, Colorado

Provider Information

NPI Number: 1922822246
Entity Type: Individual
Name: Mariah Davidson-Vader, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Nov 13, 2024
Last Updated: Nov 13, 2024

Practice Location

Address: 1 WESTERN WAY
Address 2: CRYSTAL HALL 104
City: Gunnison
State: Colorado
ZIP Code: 81230
Phone: (970) 648-7128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X
Counselor - Professional — Professional	101YP2500X	Primary

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