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Organization
POTTER COUNSELING AND EVALUATION SERVICE, CSW, PC
Active
Organization
POTTER COUNSELING AND EVALUATION SERVICE, CSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES POTTER MSW, LCSW (DIRECTOR)
(845) 355-1092
Entity
Organization
Contact information
Practice address
523 RIDGEBURY RD, SLATE HILL, NY 10973-4310
(845) 355-1092
(845) 355-6535
Mailing address
523 RIDGEBURY RD, SLATE HILL, NY 10973-4310
(845) 355-1092
(845) 355-6535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7478469
GHI VALUE OPTIONS
NY
Enumeration date
03/19/2007
Last updated
08/22/2020
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