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Mrs. Margie Ethel Potter, CICA00860419
Addiction (Substance Use Disorder) Counselor in Sutter Creek, California
NPI 1639564149

Margie Ethel Potter is an Addiction (Substance Use Disorder) Counselor based in Sutter Creek, CA and is specialized in Addiction (Substance Use Disorder). Margie Ethel Potter practices in Sutter Creek, CA and has the professional credentials of CICA00860419. The NPI Number for Margie Ethel Potter is 1639564149 and holds a License No. (California).

The current practice location address for Margie Ethel Potter is 10877 Conductor Blvd Ste 300, Sutter Creek, CA and can be reached out via phone at 209-223-6412.

Location: 10877 Conductor Blvd Ste 300, Sutter Creek, CA, 95685-9688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639564149
Provider Name
Margie Ethel Potter
Credential
CICA00860419
Provider Entity Type
Individual
Gender
Female
Address
10877 Conductor Blvd Ste 300, Sutter Creek, CA, 95685-9688
Phone Number
209-223-6412
Fax Number
Provider Enumeration Date
04/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10877 Conductor Blvd Ste 300
City
Sutter Creek
State
California
Zip
95685-9688
Phone Number
209-223-6412
Fax Number
person
Provider Business Mailing Address Details
Address
10877 Conductor Blvd Ste 300
City
Sutter Creek
State
California
Zip
95685-9688
Phone Number
209-223-6412
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CICA00860419 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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