Jessica Potter

NPI #1043936354 in Shawnee, Oklahoma

Provider Information

NPI Number: 1043936354
Entity Type: Individual
Name: Jessica Potter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 18, 2022
Last Updated: Oct 18, 2022

Practice Location

Address: 905 E WILSON ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-4165
Phone: (405) 214-0116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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