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Contact Information

REBECCA ANDERSEN, L.A.C.
17505 N. 79TH AVE
SUITE 111C
GLENDALE, AZ85308
 Phone: 623-680-8054
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for REBECCA ANDERSEN · (Female)

NPI # 1952722480
Status Active
Credentials L.A.C.
Entity Individual
Enumeration date 12/31/2013
Last updated 12/31/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LAC-13812
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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