Individual
JAMES POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172757
OH
101YM0800X
Mental Health Counselor
QMHS
OH
171M00000X
Case Manager/Care Coordinator
CMS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332529
—
OH
Enumeration date
01/11/2019
Last updated
02/10/2020
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