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NPI Code Detail

MEDICARE: ALIECE PIERCE-ANDERSON LAC

MEDICARE: ALIECE PIERCE-ANDERSON LAC
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 CounselorLAC-23161AZ

General Provider Information

NPI Number : 1639002264
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIECE PIERCE-ANDERSON LAC
Provider Business Mailing Address
First Line : 3101 N CENTRAL AVE STE 550
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2635
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-682-7455
Provider Business Practice Location Address
First Line : 610 E BASELINE RD STE 5
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-6536
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-441-5836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ ALIECE PIERCE-ANDERSON LAC” Practice Location

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