Individual ProviderAnne DouglasCounselorBehavioral Health & Social Service ProvidersPractice Address2990 E Northern Ave Ste A100, Phoenix, AZ 85028-4834(602) 525-6049PECOS EnrollmentBased on the most recent information from CMS, provider Anne Douglas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1316626997Provider TypeIndividualFull NameDouglas, AnneCredentialMAPC, LPC, LASACGenderFemaleSole ProprietorYesEnumeration Date7/12/2023Last Updated7/12/2023Contact InformationPractice LocationPractice Address2990 E Northern Ave Ste A100, Phoenix, AZ 85028-4834Phone(602) 525-6049FaxUnlisted FaxMailing LocationMailing Address2990 E Northern Ave Ste A100, Phoenix, AZ 85028-4834Phone(602) 525-6049FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC-22248Arizona