Individual provider · Type 1 NPI

Heidi Potter, SUDRC

Addiction (Substance Use Disorder) Counselor · Venice, CA

NPI number 1093351017 Active

Practice location

503 Ocean Front Walk
Venice, CA 90291-2403

Call (310) 392-3070 Map

Fax (310) 452-8766

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16489 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093351017

Heidi Potter, SUDRC's National Provider Identifier is 1093351017, issued on Nov 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Venice, CA. The record was last updated on Dec 10, 2024.