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NPI Code Detail

MEDICARE: CATHERINE KIRBY FLAGG

MEDICARE: CATHERINE KIRBY FLAGG
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDP.CP.70105999WA
2101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1396689725
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE KIRBY FLAGG
Provider Business Mailing Address
First Line : 15106 N CHRONICLE RD
Second Line :
City : MEAD
State : WA
Zip : 99021-9412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10305 E MONTGOMERY DR
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-4220
Country : US
Telephone Number : 509-873-4072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ CATHERINE KIRBY FLAGG ” Practice Location

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