Capitol Lake Counseling

NPI 1184904476 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1184904476
Enumeration Date 08/18/2011
Last Updated 08/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MATTHEW MATTHEW
Position OWNER
Phone (360) 259-4500
Fax
Practice Location
1211 4TH AVE E
SUITE 200
OLYMPIA WA, 98506-4279, US
Phone (360) 259-4500
Fax
Business Location
1211 4TH AVE E
SUITE 200
OLYMPIA WA, 98506-4279, US
Phone (360) 259-4500
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Washington
License Number LF00002537
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According to our database, Capitol Lake Counseling NPI is 1184904476, taxonomy code is 106H00000X and license number is LF00002537, license state is located at Washington. Capitol Lake Counseling physically located at 1211 4th Ave E, Olympia WA, 98506-4279. NPI Number 1033115704 has the healthcare provider type.

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1184904476 NPI number is provided on an as is basis without warranty of any kind. 1184904476 is maintained by the National Plan & Provider Enumeration System. The contents of Capitol Lake Counseling are for informational purposes only.