Individual provider · Type 1 NPI
Penny Louise Potter, SUDCC
Addiction (Substance Use Disorder) Counselor · Rockledge, FL
NPI number
1063920601
Active
Practice location
1770 Cedar St.
Rockledge, FL 32955
Fax (707) 526-0527
Mailing address
349 Harmony Place
Cocoa, FL 32926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12872-R (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Rockledge
About NPI 1063920601
Penny Louise Potter, SUDCC's National Provider Identifier is 1063920601, issued on Jan 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rockledge, FL. The record was last updated on Jan 25, 2022.