Individual
TAYLOR LYNN BERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT, AAC
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3552
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG 60687793
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60707343
WA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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