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Mr. Jason Potts
Mental Health Counselor in Olney, Illinois
NPI 1326200460

Jason Potts is a Mental Health Counselor based in Olney, IL and is specialized in Mental Health. Jason Potts practices in Olney, IL. The NPI Number for Jason Potts is 1326200460 and holds a License No. (Illinois).

The current practice location address for Jason Potts is 504 Micah Drive, Olney, IL and can be reached out via phone at 618-395-4306 and via fax at 618-395-4507.

Location: 504 Micah Drive, Olney, IL, 62450-0913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326200460
Provider Name
Jason Potts
Credential
Provider Entity Type
Individual
Gender
Male
Address
504 Micah Drive, Olney, IL, 62450-0913
Phone Number
618-395-4306
Fax Number
618-395-4507
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
371095903009 05 IL
institution
Provider Business Practice Location Address Details
Address
504 Micah Drive
City
Olney
State
Illinois
Zip
62450-0913
Phone Number
618-395-4306
Fax Number
618-395-4507
person
Provider Business Mailing Address Details
Address
504 Micah Drive
City
Olney
State
Illinois
Zip
62450-0913
Phone Number
618-395-4306
Fax Number
618-395-4507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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institution
South Eastern Illinois Counseling Center Inc
NPI 1336137199
Mental Health Counselor
504 Micah Drive,
OLNEY, IL
62450
618-395-4306
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