Healthcare Provider Details

I. General information

NPI: 1265121412
Provider Name (Legal Business Name): COURTNEY CATT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 NE 109TH AVE
VANCOUVER WA
98682-7749
US

IV. Provider business mailing address

3200 NE 109TH AVE
VANCOUVER WA
98682-7749
US

V. Phone/Fax

Practice location:
  • Phone: 360-695-1014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMG61590728
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: