Individual
MAKENZI GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 NE 40TH ST, VANCOUVER, WA 98661-3058
(360) 993-3000
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP70028938
WA
Other
Enumeration date
04/12/2023
Last updated
08/07/2025
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