Individual
MURSAL ALI ABDULKADIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5018 W ST KATERI DR, LAVEEN, AZ 85339-8207
(623) 293-2635
Mailing address
5018 W ST KATERI DR, LAVEEN, AZ 85339-8207
(623) 293-2635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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