MEDICARE: ANDREW DUMAS SCHANEN 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
1	101YM0800X	Mental Health Counselor	LPC-17052	AZ

General Provider Information

NPI Number	:	1942604210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW DUMAS SCHANEN LPC

Provider Business Mailing Address
First Line	:	7555 N 16TH LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7903
Country	:	US
Telephone Number	:	602-677-3443
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 E BETHANY HOME RD STE C188
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1295
Country	:	US
Telephone Number	:	602-691-4760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2014
Last Update Date	:	01/24/2025

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