Individual provider · Type 1 NPI

Gwendolyn Kaye Potter

Mental Health Counselor · Grants Pass, OR

NPI number 1184904864 Active

Practice location

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Call (541) 476-2373 Map

Fax (541) 295-3069

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Other practice locations

  • 1215 SW G St, Grants Pass, OR 97526-2544 · (541) 476-2373

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X03-07-35 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184904864

Gwendolyn Kaye Potter's National Provider Identifier is 1184904864, issued on Aug 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on May 31, 2019.