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MARY L HAGSTROM CDP
NPI 1538238191
Counselor - Addiction (Substance Use Disorder) in Colville, WA

Active since November 07, 2006
165 E HAWTHORNE AVE, COLVILLE, WA 99114(509) 684-4597 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary L Hagstrom Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY L HAGSTROM CDP (NPI 1538238191) is an individual addiction (substance use disorder) provider in Colville, Washington, licensed in Washington (CP00001268) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1538238191
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY L HAGSTROMCredential: CDP
Location Address165 E HAWTHORNE AVEColville, WA 99114-2629
Mailing Address613 W Main AveChewelah, WA 99109-9146 · (509) 935-0866
Phone(509) 684-4597
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1538238191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00001268
165 E HAWTHORNE AVE, Colville, WA 99114
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY M SHOVELL RC
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
JOHN M LAKE MSW, LISW
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-6172
PAULA M GORMON CDP
Counselor (Addiction (Substance Use Disorder))
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 685-0656
PAULA M CULLER MS, LMHC, DMHP
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
SHASTA L HINCKE RC
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
DANIEL O CLINGAMAN LMHC
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
DENNIS L HAWKINS CDP
Counselor (Addiction (Substance Use Disorder))
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597
DEBRA L GUHLKE M ED, LMHC, DMHP
Counselor (Mental Health)
165 E HAWTHORNE AVE
COLVILLE, WA 99114
Stevens County (509) 684-4597

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Hagstrom's NPI number?

The NPI number for Mary Hagstrom is 1538238191. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Mary Hagstrom located?

Mary Hagstrom practices at 165 E Hawthorne Ave, Colville, WA 99114. The listed phone number is (509) 684-4597.

What is Mary Hagstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Hagstrom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.