Individual provider · Type 1 NPI
Susan Lee Potthast, LMHC, LMT
Mental Health Counselor · Blue Grass, IA
NPI number
1053562793
Active
Practice location
14542 61st Ave.
Blue Grass, IA 52726-9592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 01005 (IA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
About NPI 1053562793
Susan Lee Potthast, LMHC, LMT's National Provider Identifier is 1053562793, issued on Sep 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blue Grass, IA. The record was last updated on Sep 30, 2008.