Gross, Addam Lee

Gross, Addam Lee is an individual health care provider with primary practice located at 202 E Mcdowell Rd , Phoenix AZ 85004-4533. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gross, Addam Lee can be contacted via phone (602) 486-6581.

Contact Information

Primary practice address
202 E Mcdowell Rd Phoenix AZ 85004-4533
Phone: (602) 486-6581
Fax: (602) 368-5999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC10121 Arizona

Profile Details

NPI number 1164419313
LBN Legal business name Gross, Addam Lee
Credentials MC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164419313 NPPES
Arizona MEDICAID 768509

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