Organization
REBECCA POTTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA POTTER LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(561) 267-3831
Entity
Organization
Contact information
Practice address
1417 MICHIGAN DR, LAKE WORTH, FL 33461-6059
(561) 267-3831
Mailing address
1417 MICHIGAN DR, LAKE WORTH, FL 33461-6059
(561) 267-3831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH7817
FL
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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