Provider Demographics
NPI:1720281488
Name:GILBERT, MATTHEW J (LMFT)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:J
Last Name:GILBERT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 4TH AVE E
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4279
Mailing Address - Country:US
Mailing Address - Phone:360-259-4500
Mailing Address - Fax:360-915-7744
Practice Address - Street 1:203 4TH AVE E STE 411
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1189
Practice Address - Country:US
Practice Address - Phone:360-259-4500
Practice Address - Fax:360-539-1856
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002537106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist