Provider Demographics
NPI:1770683377
Name:FLODIN, CIA (MED LMHC)
Entity Type:Individual
Prefix:
First Name:CIA
Middle Name:
Last Name:FLODIN
Suffix:
Gender:F
Credentials:MED LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9825 SANDIFUR PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-6738
Mailing Address - Country:US
Mailing Address - Phone:509-845-0366
Mailing Address - Fax:509-735-5322
Practice Address - Street 1:9825 SANDIFUR PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-6738
Practice Address - Country:US
Practice Address - Phone:509-845-0366
Practice Address - Fax:509-735-5322
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA912046288101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health