Individual
ALEXANDER POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC, SUDP
Contact information
Practice address
945 11TH AVE, LONGVIEW, WA 98632-2555
(360) 200-8660
Mailing address
945 11TH AVE, LONGVIEW, WA 98632-2555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
10/29/2020
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