Individual
SHAHAD AL-MANSURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 SUMMIT AVE BLDG A, EVERETT, WA 98201-3309
(360) 322-2455
Mailing address
4408 70TH AVE NE, MARYSVILLE, WA 98270-6986
(360) 322-2455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.61687072
WA
Other
Enumeration date
07/22/2025
Last updated
07/23/2025
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