Individual
MS. ANGELA KAY POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, LADC
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(637) 767-3350
Mailing address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12932
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306296
MN
Other
Enumeration date
08/05/2019
Last updated
02/16/2022
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