Individual
MARY POTTENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
(765) 480-1180
Mailing address
404 E 4TH ST, MISHAWAKA, IN 46544-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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