Individual
NICOLE POTAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13001 23 MILE RD STE 103, SHELBY TOWNSHIP, MI 48315-2767
(800) 693-1916
(248) 605-3525
Mailing address
PO BOX 210550, AUBURN HILLS, MI 48321-0550
(800) 693-1916
(248) 605-3525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015445
MI
Other
Enumeration date
06/13/2016
Last updated
12/12/2019
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