MS. JENNIFER LYNN CANAAN CDP
NPI 1174095392
Counselor - Addiction (Substance Use Disorder) in Chehalis, WA

Active since December 28, 2018
505 SE ADAMS AVE, CHEHALIS, WA 98532(360) 266-5029(360) 740-2551 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jennifer Lynn Canaan Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER LYNN CANAAN CDP (NPI 1174095392) is an individual addiction (substance use disorder) provider in Chehalis, Washington, licensed in Washington (CP60411031) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1174095392
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JENNIFER LYNN CANAANCredential: CDP
Location Address505 SE ADAMS AVEChehalis, WA 98532-3031
Mailing Address4317 Ne 66th Ave Apt N141Vancouver, WA 98661-3291 · (360) 521-2566
Fax(360) 740-2551
Sole ProprietorNo
Enumeration DateDecember 28, 2018
NPI 1174095392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60411031
505 SE ADAMS AVE, Chehalis, WA 98532

Other Identifiers 2

MedicaidCP60411031WA
OtherCP60411031WA · Department Of Health

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
Psychologist (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
Nurse's Aide
505 SE ADAMS AVE
CHEHALIS, WA 98532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Canaan's NPI number?

The NPI number for Jennifer Canaan is 1174095392. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Jennifer Canaan located?

Jennifer Canaan practices at 505 SE Adams Ave, Chehalis, WA 98532. The listed phone number is (360) 266-5029.

What is Jennifer Canaan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Canaan was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.