Lacey Potter is a Peer Specialist based in Ada, OK. Lacey Potter practices in Ada, OK. The NPI Number for Lacey Potter is 1114448917 and holds a License No. (Oklahoma).
The current practice location address for Lacey Potter is 15881 County Road 3590, Ada, OK and can be reached out via phone at 580-235-3138.
Location: 15881 County Road 3590, Ada, OK, 74821-0715
Provider Profile Details
NPI Number
1114448917
Provider Name
Lacey Potter
Credential
Provider Entity Type
Individual
Gender
Female
Address
15881 County Road 3590, Ada, OK, 74821-0715
Phone Number
580-235-3138
Fax Number
Provider Enumeration Date
06/30/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
15881 County Road 3590
City
State
Zip
74820-0483
Phone Number
580-235-3138
Fax Number
Provider Business Mailing Address Details
Address
15881 County Road 3590
City
State
Zip
74820-0483
Phone Number
580-235-3138
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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