Provider Demographics
NPI:1295229839
Name:GILMAN, LEE
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:GILMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 MORROW ST
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:WA
Mailing Address - Zip Code:99125-9775
Mailing Address - Country:US
Mailing Address - Phone:425-640-7009
Mailing Address - Fax:
Practice Address - Street 1:72 MORROW ST
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:WA
Practice Address - Zip Code:99125-9775
Practice Address - Country:US
Practice Address - Phone:425-640-7009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMFT.LF.61685804106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist