Individual provider · Type 1 NPI

Jessica Poteat

Professional Counselor · Racine, WI

NPI number 1144769043 Active

Practice location

420 7th St, Racine, Wi 53403
Racine, WI 53403-1222

Call (262) 634-2391 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17188-130 (WI)
Professional Counselor Primary 101YP2500X2264-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1144769043

Jessica Poteat's National Provider Identifier is 1144769043, issued on Feb 13, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Racine, WI. The record was last updated on Feb 13, 2017.