person
John Robert Potter, CDPT
Addiction (Substance Use Disorder) Counselor in Longview, Washington
NPI 1932698008

John Robert Potter is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). John Robert Potter practices in Longview, WA and has the professional credentials of CDPT. The NPI Number for John Robert Potter is 1932698008 and holds a License No. CO60741004 (Washington).

The current practice location address for John Robert Potter is 551 21St Ave, Longview, WA and can be reached out via phone at 360-270-8109.

Location: 551 21St Ave, Longview, WA, 98632-1303
person
Provider Profile Details
NPI Number
1932698008
Provider Name
John Robert Potter
Credential
CDPT
Provider Entity Type
Individual
Gender
Male
Address
551 21St Ave, Longview, WA, 98632-1303
Phone Number
360-270-8109
Fax Number
Provider Enumeration Date
05/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
551 21St Ave
City
State
Zip
98632-1303
Phone Number
360-270-8109
Fax Number
person
Provider Business Mailing Address Details
Address
551 21St Ave
City
State
Zip
98632-1303
Phone Number
360-270-8109
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60741004 (Washington)
Definition
Definition to come...
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