Mindful Space

NPI #1205619681 in Whitefish, Montana

Provider Information

NPI Number: 1205619681
Entity Type: Organization
Organization Name: Mindful Space
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 17, 2023
Last Updated: Aug 17, 2023

Practice Location

Address: 424 BAKER AVE UNIT 5318
City: Whitefish
State: Montana
ZIP Code: 59937-7139
Phone: (907) 202-0126

Authorized Official

Name: KATHRYN ROSSETTO FRUTIGER, LCSW
Title: LCSW
Phone: (907) 202-0126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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