Individual
CHRISTY MICHELLE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
3333 14TH ST, RIVERSIDE, CA 92501-3858
(951) 924-9791
Mailing address
3333 14TH ST, RIVERSIDE, CA 92501-3858
(951) 924-9791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7390
CA
101YP2500X
Professional Counselor
Primary
19195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98399251C63319
HMO
CA
Enumeration date
01/27/2020
Last updated
08/26/2025
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