Individual
KIMBERLY JO POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2931 HIGHWAY 260, OVERGAARD, AZ 85933
(928) 892-5243
Mailing address
1024 PONDEROSA DR, SHOW LOW, AZ 85901-8260
(928) 358-2504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-21329
AZ
Other
Enumeration date
07/10/2023
Last updated
05/22/2024
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