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NPI Code Detail

MEDICARE: MISTY ANDERSEN-PITCHER LPC

MEDICARE: MISTY ANDERSEN-PITCHER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC-18396AZ

General Provider Information

NPI Number : 1508210006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISTY ANDERSEN-PITCHER LPC
Provider Business Mailing Address
First Line : 2 N CENTRAL AVE STE 1800
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2139
Country : US
Telephone Number : 602-805-4908
Fax Number : 602-805-4933
Provider Business Practice Location Address
First Line : 7219 N 23RD LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-7651
Country : US
Telephone Number : 480-269-5666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2016
Last Update Date : 06/16/2026

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