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Individual
EMIRY POTTER
Active
Individual
EMIRY POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCMHC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000611
VT
101YM0800X
Mental Health Counselor
Primary
068.0104208
VT
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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