# AMANDA M POTTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609769421
- **Gender:** F
- **Credential:** CADC, MHRT-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | AD9046 | ME | Yes |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 102X00000X | Poetry Therapist | — | — | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 05/30/2025
- **Last updated:** 05/30/2025