Individual provider · Type 1 NPI

Mary Pottenger

Mental Health Counselor · South Bend, IN

NPI number 1124793039 Active

Practice location

3220 E Jefferson Blvd
South Bend, IN 46615-3028

Call (765) 480-1180 Map

Mailing address

404 E 4th St
Mishawaka, IN 46544-2235

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124793039

Mary Pottenger's National Provider Identifier is 1124793039, issued on Aug 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Bend, IN. The record was last updated on Aug 12, 2021.