Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Fortner, SUDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811620511

Mackenzie Fortner, SUDPT is an Addiction (Substance Use Disorder) Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

1601 E 4th Plain Blvd Bldg 17
Vancouver, WA 98661-3717
Phone: (360) 903-7998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDPT.CO.70105850 (WA)
Nurse's Aide Taxonomy 376K00000X · Licence NC61159336 (WA)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1811620511
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDPT
Sole proprietorYes
NPI enumeratedJuly 8, 2022
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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