Individual provider · Type 1 NPI
Debra Mae Potter, MA, LPC
Mental Health Counselor · Jackson, MI
NPI number
1053553636
Active
Practice location
5920 Clinton Rd
Jackson, MI 49201-8210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401010028 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1053553636
Debra Mae Potter, MA, LPC's National Provider Identifier is 1053553636, issued on Mar 30, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MI. The record was last updated on Dec 16, 2009.