Dave Potter, L.C.P.C.

NPI #1902808736 in Moscow, Idaho

Provider Information

NPI Number
1902808736
Entity Type
Individual
Name
Dave Potter, L.C.P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
L.C.P.C.
Enumeration Date
Aug 11, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
814 S WASHINGTON ST
City
Moscow
State
Idaho
ZIP Code
83843-3049
Phone
(208) 883-0619

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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