Derek Michael Potthoff, LMSW

NPI #1578236642 in Orange City, Iowa

Provider Information

NPI Number
1578236642
Entity Type
Individual
Name
Derek Michael Potthoff, LMSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
LMSW
Enumeration Date
Jul 26, 2021
Last Updated
Jul 26, 2021

Practice Location

Address
1217 HIGHWAY 10 W
State
Iowa
ZIP Code
51041-1500
Phone
(712) 707-9222

Specialties & Taxonomy Codes

Specialty
Counselor

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