Provider Demographics
NPI:1427328707
Name:JENNER, CATHERINE ANNE
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANNE
Last Name:JENNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANNE
Other - Last Name:HULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42660 SE 102ND ST
Mailing Address - Street 2:CONNECTS COUNSELINBG
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-9400
Mailing Address - Country:US
Mailing Address - Phone:206-595-2920
Mailing Address - Fax:815-301-1913
Practice Address - Street 1:42660 SE 102ND ST
Practice Address - Street 2:CONNECTS COUNSELINBG
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-9400
Practice Address - Country:US
Practice Address - Phone:206-595-2920
Practice Address - Fax:815-301-1913
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor