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Organization
MOUNTAIN PEAK MENTAL HEALTH, PLLC
Active
Organization
MOUNTAIN PEAK MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA BRUCKEN ARNP (PSYCHIATRIC ARNP/MANAGING MEMBER)
(425) 620-3072
Entity
Organization
Contact information
Practice address
1424 NE 155TH ST STE 205, SHORELINE, WA 98155-7104
(425) 620-3072
Mailing address
12345 LAKE CITY WAY NE # 422, SEATTLE, WA 98125-5401
(425) 620-3072
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/14/2024
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