Provider Demographics
NPI:1154452860
Name:SHAPIRO, MARIANN (LMHC)
Entity type:Individual
Prefix:
First Name:MARIANN
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 S 1ST ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3897
Mailing Address - Country:US
Mailing Address - Phone:360-421-5212
Mailing Address - Fax:360-336-6618
Practice Address - Street 1:406 S 1ST ST STE 204
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3897
Practice Address - Country:US
Practice Address - Phone:360-421-5212
Practice Address - Fax:360-375-7615
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004896101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health