Healthcare Provider Details

I. General information

NPI: 1295659191
Provider Name (Legal Business Name): FELIPE MATAMALA COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20308 DAYTON AVE N
SHORELINE WA
98133-3027
US

IV. Provider business mailing address

522 W RIVERSIDE AVE
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 206-604-5106
  • Fax:
Mailing address:
  • Phone: 206-604-5106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: FELIPE ANDRES MATAMALA SANDOVAL SR.
Title or Position: LMHC
Credential: LMHC
Phone: 206-604-5106