person
Patrick Anderson, LISAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1093455396

Patrick Anderson is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Patrick Anderson practices in Phoenix, AZ and has the professional credentials of LISAC. The NPI Number for Patrick Anderson is 1093455396 and holds a License No. 15174 (Arizona).

The current practice location address for Patrick Anderson is 3930 N 30Th Ave, Phoenix, AZ and can be reached out via phone at 623-322-6143 and via fax at 480-781-4566.

Location: 3930 N 30Th Ave, Phoenix, AZ, 85017-4607
person
Provider Profile Details
NPI Number
1093455396
Provider Name
Patrick Anderson
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
3930 N 30Th Ave, Phoenix, AZ, 85017-4607
Phone Number
623-322-6143
Fax Number
480-781-4566
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
091903 05 AZ
institution
Provider Business Practice Location Address Details
Address
3930 N 30Th Ave
City
State
Zip
85017-4607
Phone Number
623-322-6143
Fax Number
480-781-4566
person
Provider Business Mailing Address Details
Address
3930 N 30Th Ave
City
State
Zip
85017-4607
Phone Number
623-322-6143
Fax Number
480-781-4566
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15174 (Arizona)
Definition
Definition to come...
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