Individual provider · Type 1 NPI

Patrick Anderson, LISAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1093455396 Active

Practice location

3930 N 30th Ave
Phoenix, AZ 85017-4607

Fax (480) 781-4566

Other practice locations

  • 2222 N 24th St, Phoenix, AZ 85008-2716 · (602) 681-7188

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15174 (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093455396

Patrick Anderson, LISAC's National Provider Identifier is 1093455396, issued on Apr 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 6, 2022.