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Mr. Brent Potter
School Counselor in Kingman, Arizona
NPI 1871706481

Brent Potter is a School Counselor based in Kingman, AZ and is specialized in School. Brent Potter practices in Kingman, AZ. The NPI Number for Brent Potter is 1871706481 and holds a License No. (Arizona).

The current practice location address for Brent Potter is 4182 N Bank St, Kingman, AZ and can be reached out via phone at 928-692-9813 and via fax at 928-692-1507.

Location: 4182 N Bank St, Kingman, AZ, 86401-7819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871706481
Provider Name
Brent Potter
Credential
Provider Entity Type
Individual
Gender
Male
Address
4182 N Bank St, Kingman, AZ, 86401-7819
Phone Number
928-692-9813
Fax Number
928-692-1507
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
961575 05 AZ
institution
Provider Business Practice Location Address Details
Address
4182 N Bank St
City
Kingman
State
Arizona
Zip
86409-2715
Phone Number
928-692-9813
Fax Number
928-692-1507
person
Provider Business Mailing Address Details
Address
4182 N Bank St
City
Kingman
State
Arizona
Zip
86409-2715
Phone Number
928-692-9813
Fax Number
928-692-1507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
(Arizona)
Definition
Definition to come...
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