person
Mr. Kyle Perry Potter, BA
Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island
NPI 1700447331

Kyle Perry Potter is an Addiction (Substance Use Disorder) Counselor based in Wakefield, RI and is specialized in Addiction (Substance Use Disorder). Kyle Perry Potter practices in Providence, RI and has the professional credentials of BA. The NPI Number for Kyle Perry Potter is 1700447331 and holds a License No. (Rhode Island).

The current practice location address for Kyle Perry Potter is 110 Elmwood Ave, Providence, RI and can be reached out via phone at 401-300-5757 and via fax at 401-300-5656.

Location: 110 Elmwood Ave, Providence, RI, 02879-3212
person
Provider Profile Details
NPI Number
1700447331
Provider Name
Kyle Perry Potter
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
110 Elmwood Ave, Providence, RI, 02879-3212
Phone Number
401-300-5757
Fax Number
401-300-5656
Provider Enumeration Date
06/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Elmwood Ave
City
State
Zip
02907-2423
Phone Number
401-300-5757
Fax Number
401-300-5656
person
Provider Business Mailing Address Details
Address
110 Elmwood Ave
City
State
Zip
02907-2423
Phone Number
401-300-5757
Fax Number
401-300-5656
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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