Individual provider · Type 1 NPI

Jennifer Lynn Canaan, CDP

Addiction (Substance Use Disorder) Counselor · Chehalis, WA

NPI number 1174095392 Active

Practice location

505 SE Adams Ave
Chehalis, WA 98532-3031

Fax (360) 740-2551

Mailing address

4317 NE 66th Ave Apt N141
Vancouver, WA 98661-3291

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60411031 (WA)

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

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About NPI 1174095392

Jennifer Lynn Canaan, CDP's National Provider Identifier is 1174095392, issued on Dec 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chehalis, WA. The record was last updated on Dec 28, 2018.