MRS. Margie Ethel Potter, CICA00860419
NPI #1639564149 in Sutter Creek, California
Provider Information
- NPI Number
- 1639564149
- Entity Type
- Individual
- Name
- MRS. Margie Ethel Potter, CICA00860419
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CICA00860419
- Enumeration Date
- Apr 1, 2015
- Last Updated
- Oct 19, 2022
Practice Location
- Address
- 10877 CONDUCTOR BLVD STE 300
- City
- Sutter Creek
- State
- California
- ZIP Code
- 95685-9688
- Phone
- (209) 223-6412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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