MEDICARE: MRS. CAITLYNN VOGL LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	61300616	WA
2	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1184265118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAITLYNN VOGL LMHC

Provider Business Mailing Address
First Line	:	100 N HOWARD ST STE 6126
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	509-237-7778
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N HOWARD ST STE 6126
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	509-237-7778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2019
Last Update Date	:	05/20/2026

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