Individual provider · Type 1 NPI

Issaura Maribel Potter, LPC

Professional Counselor · Boise, ID

NPI number 1942930276 Active

Practice location

6003 W Overland Rd Ste 101
Boise, ID 83709-3075

Call (208) 204-0451 Map

Mailing address

2268 S Elderberry Pl
Boise, ID 83706-4492

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X8841 (ID)
Professional Counselor Primary 101YP2500X8841 (ID)

Professional Counselor: Definition to come...

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About NPI 1942930276

Issaura Maribel Potter, LPC's National Provider Identifier is 1942930276, issued on Jun 10, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jun 13, 2022.