Elemental Shift LLC
NPI #1992418446 in Salem, Massachusetts
Provider Information
- NPI Number
- 1992418446
- Entity Type
- Organization
- Organization Name
- Elemental Shift LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 29, 2022
- Last Updated
- Dec 29, 2022
Practice Location
- Address
- 34 FORRESTER STREET
- City
- Salem
- State
- Massachusetts
- ZIP Code
- 01970
- Phone
- (207) 671-4325
Authorized Official
- Name
- KIRSTEN JETTINGHOFF, LMHC
- Title
- OWNER
- Phone
- (207) 671-4325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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