Individual provider · Type 1 NPI

Margie Ethel Potter, CICA00860419

Addiction (Substance Use Disorder) Counselor · Sutter Creek, CA

NPI number 1639564149 Active

Practice location

10877 Conductor Blvd Ste 300
Sutter Creek, CA 95685-9688

Call (209) 223-6412 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCICA00860419 (CA)

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

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About NPI 1639564149

Margie Ethel Potter, CICA00860419's National Provider Identifier is 1639564149, issued on Apr 1, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sutter Creek, CA. The record was last updated on Oct 19, 2022.