Individual
CAITLYN R POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 BRYANT ST, SAN FRANCISCO, CA 94103-4514
(415) 777-9953
Mailing address
822 ARKANSAS ST UNIT A, SAN FRANCISCO, CA 94107-3335
(616) 648-4158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1455200122
CA
104100000X
Social Worker
Primary
100223
CA
Other
Enumeration date
01/07/2021
Last updated
06/04/2024
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