Individual
JESSICA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E WILSON ST, SHAWNEE, OK 74804-4165
(405) 214-0116
Mailing address
1810 N HARRISON ST APT 226, SHAWNEE, OK 74804-4007
(405) 488-5020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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