person
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. You can also correspond with Brent Potter through the mailing address at 2865 RAWHIDE DR, KINGMAN, AZ - 86401-7819 (mailing address contact number: 928-692-9813).

Location: 4182 N Bank St, Kingman, AZ, 86401-7819
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
961575 05 AZ
institution
Provider Business Practice Location Address Details
Address
4182 N Bank St
City
State
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
State
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
License No.
(Arizona)
Definition
Definition to come...
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