Healthcare Provider Details

I. General information

NPI: 1083521355
Provider Name (Legal Business Name): KATRINA ANN LAKKO LMFTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11707 E SPRAGUE AVE STE 202
SPOKANE VALLEY WA
99206-6125
US

IV. Provider business mailing address

11707 E SPRAGUE AVE STE 202
SPOKANE VALLEY WA
99206-6125
US

V. Phone/Fax

Practice location:
  • Phone: 509-926-6581
  • Fax:
Mailing address:
  • Phone: 509-926-6581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTA.MG.7012348
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: