Individual
GRACE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, MS, LPC
Contact information
Practice address
1318 COMMERCIAL ST NE, HANCEVILLE, AL 35077-5512
(256) 735-3624
Mailing address
1318 COMMERCIAL ST NE, HANCEVILLE, AL 35077-5512
(256) 338-8796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4450
AL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/11/2014
Last updated
08/31/2022
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