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Ms. Sara Marie Pottinger
Mental Health Counselor in Rockford, Illinois
NPI 1396073128

Sara Marie Pottinger is a Mental Health Counselor based in Rockford, IL and is specialized in Mental Health. Sara Marie Pottinger practices in Rockford, IL. The NPI Number for Sara Marie Pottinger is 1396073128 and holds a License No. (Illinois).

The current practice location address for Sara Marie Pottinger is 1200 W State St, Rockford, IL and can be reached out via phone at 815-490-1600 and via fax at 815-490-1881.

Location: 1200 W State St, Rockford, IL, 61102-2112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396073128
Provider Name
Sara Marie Pottinger
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 W State St, Rockford, IL, 61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1881
Provider Enumeration Date
12/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180008610 05 IL
institution
Provider Business Practice Location Address Details
Address
1200 W State St
City
Rockford
State
Illinois
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1881
person
Provider Business Mailing Address Details
Address
1200 W State St
City
Rockford
State
Illinois
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1881
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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