Provider Demographics
NPI:1265703714
Name:MEHN, CATHERINE J (LICSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:J
Last Name:MEHN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:J
Other - Last Name:MEHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:401 W MAIN ST
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2837
Mailing Address - Country:US
Mailing Address - Phone:509-301-0476
Mailing Address - Fax:
Practice Address - Street 1:401 W MAIN ST
Practice Address - Street 2:SUITE # 101
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2837
Practice Address - Country:US
Practice Address - Phone:509-301-0476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-14
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 60275453101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health