IndividualActive
Jennifer Canaan, CDP
NPI 1174095392 · Addiction (Substance Use Disorder) Counselor · Chehalis, WA
Provider details
- NPI number
- 1174095392
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDP
- Sex
- Female
- Sole proprietor
- No
- License
- CP60411031 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 Se Adams Ave
Chehalis, WA 98532-3031
Phone: (360) 266-5029
Fax: (360) 740-2551
Street-level locationGet directions
Mailing address
4317 Ne 66th Ave Apt N141
Vancouver, WA 98661-3291
Registry dates
- Enumerated
- 2018-12-28
- Last updated
- 2018-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.