Individual provider · Type 1 NPI

Makenna Grace

Addiction (Substance Use Disorder) Counselor · Newark, OH

NPI number 1407710460 Active

Practice location

65 Messimer Dr
Newark, OH 43055-1874

Mailing address

133 Old Bay Dr
Pataskala, OH 43062-7690

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407710460

Makenna Grace's National Provider Identifier is 1407710460, issued on Dec 15, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, OH. The record was last updated on Jan 12, 2026.