| Capitol Lake Counseling | |
|
1211 4th Ave E Suite 200 Olympia WA 98506-4279 | |
| (360) 259-4500 | |
| Not Available |
| Full Name | Capitol Lake Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1211 4th Ave E, Olympia, Washington |
| Authorized Official Name and Position | Matthew Gilbert (OWNER) |
| Authorized Official Contact | 3602594500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Lake Counseling 1211 4th Ave E Suite 200 Olympia WA 98506-4279 Ph: (360) 259-4500 | Capitol Lake Counseling 1211 4th Ave E Suite 200 Olympia WA 98506-4279 Ph: (360) 259-4500 |
| NPI Number | 1184904476 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 08/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184904476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF00002537 (Washington) | Primary |
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