Individual provider · Type 1 NPI
Lawrence Mark Sideman, PhD
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1275650749
Active
Practice location
10269 N Central Ave
Phoenix, AZ 85020-1051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10540 (AZ) |
| Professional Counselor | 101YP2500X | 11790 (AZ) |
| Clinical Psychologist | 103TC0700X | 3015 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275650749
Lawrence Mark Sideman, PhD's National Provider Identifier is 1275650749, issued on Mar 22, 2007. 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 11, 2025.