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Individual
MR. WILLIAM HOLLIS POTTER
Active
Individual
MR. WILLIAM HOLLIS POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
551
NC
101YP2500X
Professional Counselor
Primary
4731
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138GJ
BLUE CROSS BLUE SHIELD
NC
05
—
6102008
—
NC
Enumeration date
05/18/2006
Last updated
03/19/2009
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