Organization
MINDFUL MOUNTAIN THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW MICHAEL NORDIN LICSW (CEO/OWNER)
(206) 333-2343
Entity
Organization
Contact information
Practice address
1817 QUEEN ANNE AVE N STE 202, SEATTLE, WA 98109-2876
(206) 333-2343
(206) 848-1329
Mailing address
1752 NW MARKET ST # 4340, SEATTLE, WA 98107-5264
(888) 646-3686
(425) 429-2417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
10/21/2024
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