person
Mrs. Susan Lee Potthast, LMHC,LMT
Mental Health Counselor in Blue Grass, Iowa
NPI 1053562793

Susan Lee Potthast is a Mental Health Counselor based in Blue Grass, IA and is specialized in Mental Health. Susan Lee Potthast practices in Blue Grass, IA and has the professional credentials of LMHC,LMT. The NPI Number for Susan Lee Potthast is 1053562793 and holds a License No. 01005 (Iowa).

The current practice location address for Susan Lee Potthast is 14542 61St Ave., Blue Grass, IA and can be reached out via phone at 563-381-4649.

Location: 14542 61St Ave., Blue Grass, IA, 52726-9592
person
Provider Profile Details
NPI Number
1053562793
Provider Name
Susan Lee Potthast
Credential
LMHC,LMT
Provider Entity Type
Individual
Gender
Female
Address
14542 61St Ave., Blue Grass, IA, 52726-9592
Phone Number
563-381-4649
Fax Number
Provider Enumeration Date
09/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14542 61St Ave.
City
State
Zip
52726-9592
Phone Number
563-381-4649
Fax Number
person
Provider Business Mailing Address Details
Address
14542 61St Ave.
City
State
Zip
52726-9592
Phone Number
563-381-4649
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
01005 (Iowa)
Definition
Definition to come...
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