Individual provider · Type 1 NPI

Christine Shirley Potapov, RADT

Addiction (Substance Use Disorder) Counselor · Trabuco Canyon, CA

NPI number 1326882192 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Call (818) 582-8832 Map

Fax (818) 582-8836

Mailing address

24522 Bendricon Ln Apt D
Lake Forest, CA 92630-8603

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1562940624 (CA)

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

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About NPI 1326882192

Christine Shirley Potapov, RADT's National Provider Identifier is 1326882192, issued on Jun 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Jun 25, 2024.