Individual provider · Type 1 NPI

Kyle Perry Potter, BA

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1700447331 Active

Practice location

110 Elmwood Ave
Providence, RI 02907-2423

Call (401) 300-5757 Map

Fax (401) 300-5656

Mailing address

104 River St
Wakefield, RI 02879-3212

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 1700447331

Kyle Perry Potter, BA's National Provider Identifier is 1700447331, issued on Jun 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Jun 25, 2019.