Individual
STEPHANIE F POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 775-5671
Mailing address
48 PITT ST APT 3, PORTLAND, ME 04103-4888
(207) 671-5778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6541
ME
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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