Individual provider · Type 1 NPI

Tia Rose Potts, BS OF PSYCHOLOGY

Addiction (Substance Use Disorder) Counselor · Madison Heights, MI

NPI number 1457361735 Active

Practice location

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651

Fax (248) 547-2226

Mailing address

20075 Northville Place Dr Apt 3106
Northville, MI 48167-2961

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1457361735

Tia Rose Potts, BS OF PSYCHOLOGY's National Provider Identifier is 1457361735, issued on Aug 9, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison Heights, MI. The record was last updated on Apr 8, 2008.