Individual
ELIZABETH ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 N 16TH ST STE 122, PHOENIX, AZ 85006-1265
(602) 636-4486
Mailing address
2701 N 16TH ST STE 122, PHOENIX, AZ 85006-1265
(602) 636-4486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-13210
AZ
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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