Individual provider · Type 1 NPI
Kimberly Ann Potter, MA, LIMHP
Mental Health Counselor · Omaha, NE
NPI number
1609940402
Active
Practice location
415 S 25th St
Omaha, NE 68124
Fax (402) 477-0081
Mailing address
415 South 25th Street
Omaha, NE 68124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-994 (NE) |
| Mental Health Counselor | 101YM0800X | 114 (NE) |
| Professional Counselor | 101YP2500X | 1330 (NE) |
| Mental Health Counselor Primary | 101YM0800X | 2432 (NE) |
Mental Health Counselor: Definition to come...
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About NPI 1609940402
Kimberly Ann Potter, MA, LIMHP's National Provider Identifier is 1609940402, issued on Nov 20, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Jun 3, 2021.