Organization
CAPITOL LAKE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GILBERT LMFT (OWNER)
(360) 259-4500
Entity
Organization
Contact information
Practice address
1211 4TH AVE E, SUITE 200, OLYMPIA, WA 98506-4279
(360) 259-4500
Mailing address
1211 4TH AVE E, SUITE 200, OLYMPIA, WA 98506-4279
(360) 259-4500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00002537
WA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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