Provider Demographics
NPI:1396416517
Name:GILBERT, CATHERINE CHANG (LMHCA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CHANG
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2102
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-0102
Mailing Address - Country:US
Mailing Address - Phone:425-306-7995
Mailing Address - Fax:
Practice Address - Street 1:160 NW GILMAN BLVD STE 231
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2550
Practice Address - Country:US
Practice Address - Phone:425-470-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61076075101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health