Individual provider · Type 1 NPI

Jeremy Potter, LICSW

Mental Health Counselor · Marlborough, MA

NPI number 1023242534 Active

Practice location

340 Maple St, 4th Floor
Marlborough, MA 01752-3200

Call (508) 485-9300 Map

Mailing address

17 Saxon Rd
Worcester, MA 01602-1521

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X114179 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1023242534

Jeremy Potter, LICSW's National Provider Identifier is 1023242534, issued on May 12, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marlborough, MA. The record was last updated on May 12, 2009.