Organization
MODERN MINDWORK, LLC
Active
Other names
Mt Kulshan Ketamine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA STARRATT MSN CRNA ARNP (CLINICAL DIRECTOR)
(509) 405-1001
Entity
Organization
Contact information
Practice address
1313 E MAPLE ST # 107, BELLINGHAM, WA 98225-5708
(509) 405-1001
Mailing address
1313 E MAPLE ST # 107, BELLINGHAM, WA 98225-5708
(509) 405-1001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/05/2024
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