Individual
RHETT POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2748 ADAMS AVE, OGDEN, UT 84403-0106
(801) 394-3454
Mailing address
2748 ADAMS AVE, OGDEN, UT 84403-0106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103094-3501
UT
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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