National Provider Identifier

Patrick Anderson, LISAC

Patrick Anderson, LISAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Phoenix, AZ and a listed phone number of (623) 322-6143.

NPI 1093455396Phoenix, AZAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated September 06, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1093455396
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
April 01, 2022
Last Updated
September 06, 2022

Practice Location

  • 3930 N 30Th Ave
  • Phoenix, AZ 85017-4607

Phone: (623) 322-6143

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

Browse Similar Providers

See more providers in the Counselor classification in Phoenix, AZ.

Open Counselor providers in Phoenix, AZ

Open the exact Addiction (Substance Use Disorder) specialty directory in Phoenix, AZ

Biography

Patrick Anderson, LISAC, is a Phoenix-based addiction counseling clinician with Arizona licensure documented in his public NPPES profile. The same record lists him as a sole proprietor, pointing to an independent behavioral health practice rather than a hospital-owned or academic appointment.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1093455396
Entity Type
Individual
Last Name
Anderson
First Name
Patrick
Credential
LISAC
Mailing Street Address
3930 N 30Th Ave
Mailing City
Phoenix
Mailing State
AZ
Mailing ZIP Code
85017-4607
Mailing Country
US
Mailing Phone
(623) 322-6143
Mailing Fax
(480) 781-4566
Practice Street Address
3930 N 30Th Ave
Practice City
Phoenix
Practice State
AZ
Practice ZIP Code
85017-4607
Practice Country
US
Practice Phone
(623) 322-6143
Practice Fax
(480) 781-4566
Enumeration Date
April 01, 2022
Last Updated
September 06, 2022
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
September 06, 2022
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
091903 (AZ)