Organization
ELEMENTAL SHIFT LLC
Active
Other names
Elemental Shift LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN JETTINGHOFF LMHC (OWNER)
(207) 671-4325
Entity
Organization
Contact information
Practice address
34 FORRESTER STREET, SALEM, MA 01970
(207) 671-4325
Mailing address
203 WASHINGTON ST STE 181, SALEM, MA 01970-3607
(207) 671-4325
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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