Individual
MS. DEBRA MAE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5920 CLINTON RD, JACKSON, MI 49201-8210
(517) 768-8273
Mailing address
5920 CLINTON RD, JACKSON, MI 49201-8210
(517) 768-8273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010028
MI
Other
Enumeration date
03/30/2009
Last updated
12/16/2009
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