Individual
BRITTANY POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3028 GENTILLY BLVD, NEW ORLEANS, LA 70122-3808
(504) 948-6080
Mailing address
3028 GENTILLY BLVD, NEW ORLEANS, LA 70122-3808
(504) 948-6080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464581059
—
LA
Enumeration date
11/19/2015
Last updated
01/07/2022
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