Individual
CARRIE ANN POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
2015 S HALLIBURTON ST, KIRKSVILLE, MO 63501-4646
(660) 665-1962
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
081255
IA
101YP2500X
Professional Counselor
Primary
2016009405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081255
—
IA
05
—
2016009405
—
MO
Enumeration date
03/09/2016
Last updated
03/16/2026
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