| Mindful Space | |
|
424 Baker Ave Unit 5318 Whitefish MT 59937-7139 | |
| (907) 202-0126 | |
| Not Available |
| Full Name | Mindful Space |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 424 Baker Ave Unit 5318, Whitefish, Montana |
| Authorized Official Name and Position | Kathryn Rossetto Frutiger (LCSW) |
| Authorized Official Contact | 9072020126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Space Po Box 5318 Whitefish MT 59937-5318 Ph: (907) 202-0126 | Mindful Space 424 Baker Ave Unit 5318 Whitefish MT 59937-7139 Ph: (907) 202-0126 |
| NPI Number | 1205619681 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205619681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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