PATRICK ANDERSON

PHOENIX, AZ
NPI1093455396
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  15174)
Enumeration Date2022-04-01
Last Update Date2022-09-06
Business Address
PATRICK ANDERSON LISAC
3930 N 30TH AVE
PHOENIX, AZ 85017-4607
Phone number: 623-322-6143
Mailing Address
PATRICK ANDERSON LISAC
3930 N 30TH AVE
PHOENIX, AZ 85017-4607
Phone number: 623-322-6143
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