Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patrick Anderson, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093455396

Patrick Anderson, LISAC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

3930 N 30th Ave
Phoenix, AZ 85017-4607
Phone: (623) 322-6143
Fax: (480) 781-4566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 N 24th St, Phoenix, AZ 85008-2716 — (602) 681-7188

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15174 (AZ)

Record details

NPI number1093455396
Entity typeIndividual (Type 1)
GenderMale
Credentials LISAC
Sole proprietorYes
NPI enumeratedApril 1, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address3930 N 30th Ave, Phoenix, AZ 85017-4607

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