Individual
ANDREA PICCIRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LASAC
Contact information
Practice address
3140 N ARIZONA AVE STE 101, CHANDLER, AZ 85225-7166
(480) 369-3339
Mailing address
4242 E CACTUS RD APT 244, PHOENIX, AZ 85032-7750
(480) 369-3339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15360
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15360
LASAC
AZ
Enumeration date
01/06/2023
Last updated
01/06/2023
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