Individual provider · Type 1 NPI

Jason Potts

Addiction (Substance Use Disorder) Counselor · Olney, IL

NPI number 1326200460 Active

Practice location

504 Micah Drive, Box Drawer M
Olney, IL 62450-0913

Call (618) 395-4306 Map

Fax (618) 395-4507

Mailing address

PO Box M, 504 Micah Drive
Olney, IL 62450-0913

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

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

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About NPI 1326200460

Jason Potts's National Provider Identifier is 1326200460, issued on Jun 30, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Olney, IL. The record was last updated on Jun 30, 2008.