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Individual

CHARLES POTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPCC-S

Contact information

Practice address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310
Mailing address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
E.1901087-SUPV
OH

Other

Enumeration date
05/09/2016
Last updated
11/18/2025
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