Healthcare Provider Details

I. General information

NPI: 1588751432
Provider Name (Legal Business Name): LINDA M DAGGY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 S WALNUT ST
SPOKANE WA
99204-3326
US

IV. Provider business mailing address

812 S WALNUT ST
SPOKANE WA
99204-3326
US

V. Phone/Fax

Practice location:
  • Phone: 509-241-3130
  • Fax: 509-315-5780
Mailing address:
  • Phone: 509-241-3130
  • Fax: 509-315-5780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00005252
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLCPC410
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLH00005252
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: