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CAPITOL LAKE COUNSELING, LLC

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Company Details

Legal Name: CAPITOL LAKE COUNSELING, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 5th 2011
Date of Dissolution: December 3rd 2012
Expiration date: 31 Aug 2012
UBI Number: 603 134 299
ZIP code: 98506
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1211 4TH AVENUE, TUMWATER, WA, 98506, UNITED STATES

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Registered Agent Information

Name Role Address
MATTHEW GILBERT Registered Agent 1211 4TH AVE #200, OLYMPIA, WA, 98502, UNITED STATES

Key Officers & Management

Name Role Address
MATTHEW GILBERT Governing Person 1203 IRVING STREET SW, OLYMPIA, WA, 98512, UNITED STATES

National Provider Identifier

NPI Number:
1184904476

Authorized Person:

Name:
MATTHEW GILBERT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
Yes

Contacts:

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