MS. JENNIFER LYNN CANAAN


Address: 505 Se Adams Ave, Chehalis, WA 98532-3031
Phone: 3602665029

MS. JENNIFER LYNN CANAAN (NPI# 1174095392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174095392
Entity Type Individual
Full Name MS. JENNIFER LYNN CANAAN
Credential CDP
Practice Address 505 Se Adams Ave
Chehalis
WA 98532-3031
Mailing Address 4317 Ne 66th Ave Apt N141
Vancouver
WA 98661-3291
Practice Telephone 3602665029
Practice Fax Number 3607402551
Mailing Telephone 3605212566
Enumeration Date 2018-12-28
Last Update Date 2018-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CP60411031 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA CP60411031 05
WA DEPARTMENT OF HEALTH CP60411031 01

Office Location

Street Address 505 SE ADAMS AVE
City CHEHALIS
State WA
Zip Code 98532-3031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992338065 Sabrina Marie Hughes Nurse's Aide 505 Se Adams Ave, Chehalis, WA 98532-3031 2020-02-18
1679105365 Debra L Koreis Registered Nurse 505 Se Adams Ave, Chehalis, WA 98532-3031 2020-02-10
1669015152 Rita Eva Adelina Hotchkiss Peer Specialist 505 Se Adams Ave, Chehalis, WA 98532-3031 2019-10-28
1699248567 Natalie Lee Olson Counselor 505 Se Adams Ave, Chehalis, WA 98532-3031 2019-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275140832 Joshua Russell Wachter Registered Nurse 275 W. Vine St., Napavine, WA 98532 2020-09-28
1891339123 Dara Casey Technician 271-1 Romerman Rd, Chehalis, WA 98532 2019-10-30
1265997704 April D Bacongco Counselor 500 Se Washington St, Chehalis, WA 98532 2019-02-08
1235610155 Alyssa Dawn Ware Physical Therapist 1441 Kresky Ave, Chehalis, WA 98532 2018-08-28
1609365238 American Behavioral Health Systems, Inc. Substance Abuse Rehabilitation Facility 500 Se Adams Ave, Chehalis, WA 98532 2018-05-09
1043709314 Kevin Bumatay Duran Family Medicine 931 S. Market Blvd, Chehalis, WA 98532 2018-05-02
1164922324 William I. Mcmillan Counselor 121 Nw Chehalis St., Chehalis, WA 98532 2018-02-14
1285155366 Great Rivers Behavioral Health Organization Community/Behavioral Health 57 W Main Street, Suite 260, Chehalis, WA 98532 2017-06-29
1396273637 Misty Anne Glenn Counselor 121 Nw Chehalis Ave, Chehalis, WA 98532 2017-05-31
1841726221 Dodi Forgione Counselor 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 2017-05-04
Find all providers in zip 98532

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457848970 Sarah Louise Wolbert Counselor 151 Ne Hampe Way Ste C2-1, Chehalis, WA 98532-2403 2018-04-19
1164922324 William I. Mcmillan Counselor 121 Nw Chehalis St., Chehalis, WA 98532 2018-02-14
1396273637 Misty Anne Glenn Counselor 121 Nw Chehalis Ave, Chehalis, WA 98532 2017-05-31
1689726499 Inner Peace Counseling, Inc Counselor 118 N Market Blvd, Suite 1, Chehalis, WA 98532-2666 2007-01-18
1174137152 Derik L Sandoval Counselor 500 Se Washington Ave, Chehalis, WA 98532-3058 2020-09-07
1477161552 Jason Immanuel Brandis Counselor 1956 Ne Kresky Ave, Chehalis, WA 98532-2307 2020-07-15
1871113498 Catrena D Taylor Counselor 151 N Market Blvd, Chehalis, WA 98532-2677 2020-04-23
1912534470 Holly Ann Neill Counselor 1956 Ne Kresky Ave, Chehalis, WA 98532-2307 2020-03-25
1942840160 Community Integrated Health Services, LLC Counselor 57 W Main St, Chehalis, WA 98532-4815 2020-01-15
1992345367 Eva Delamater Counselor 121 Nw Chehalis Ave, Chehalis, WA 98532-2010 2020-01-13
Find all providers in CHEHALIS

Competitor

Search similar providers

City CHEHALIS
Zip Code 98532

Improve Information

Please comment or provide details below to improve the information on MS. JENNIFER LYNN CANAAN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches