person
Tia Rose Potts, BSOFPSYCHOLOGY
Addiction (Substance Use Disorder) Counselor in Madison Hts, Michigan
NPI 1457361735

Tia Rose Potts is an Addiction (Substance Use Disorder) Counselor based in Northville, MI and is specialized in Addiction (Substance Use Disorder). Tia Rose Potts practices in Madison Hts, MI and has the professional credentials of BSOFPSYCHOLOGY. The NPI Number for Tia Rose Potts is 1457361735 and holds a License No. (Michigan).

The current practice location address for Tia Rose Potts is 1400 E 12 Mile Rd, Madison Hts, MI and can be reached out via phone at 248-547-2223 and via fax at 248-547-2226.

Location: 1400 E 12 Mile Rd, Madison Hts, MI, 48167-2961
person
Provider Profile Details
NPI Number
1457361735
Provider Name
Tia Rose Potts
Credential
BSOFPSYCHOLOGY
Provider Entity Type
Individual
Gender
Female
Address
1400 E 12 Mile Rd, Madison Hts, MI, 48167-2961
Phone Number
248-547-2223
Fax Number
248-547-2226
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
631090 05 MI
institution
Provider Business Practice Location Address Details
Address
1400 E 12 Mile Rd
City
State
Zip
48071-2651
Phone Number
248-547-2223
Fax Number
248-547-2226
person
Provider Business Mailing Address Details
Address
1400 E 12 Mile Rd
City
State
Zip
48071-2651
Phone Number
248-547-2223
Fax Number
248-547-2226
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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