person
Mallory Potter, BSLADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1891102836

Mallory Potter is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Mallory Potter practices in Minneapolis, MN and has the professional credentials of BSLADC. The NPI Number for Mallory Potter is 1891102836 and holds a License No. 303687 (Minnesota).

The current practice location address for Mallory Potter is 3329 University Ave Se, Minneapolis, MN and can be reached out via phone at 612-454-2297 and via fax at 612-252-0308.

Location: 3329 University Ave Se, Minneapolis, MN, 55414-3325
person
Provider Profile Details
NPI Number
1891102836
Provider Name
Mallory Potter
Credential
BSLADC
Provider Entity Type
Individual
Gender
Female
Address
3329 University Ave Se, Minneapolis, MN, 55414-3325
Phone Number
612-454-2297
Fax Number
612-252-0308
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3329 University Ave Se
City
State
Zip
55414-3325
Phone Number
612-454-2297
Fax Number
612-252-0308
person
Provider Business Mailing Address Details
Address
3329 University Ave Se
City
State
Zip
55414-3325
Phone Number
612-454-2297
Fax Number
612-252-0308
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
303687 (Minnesota)
Definition
Definition to come...
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