Individual
DANIELLE MEGAN POTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5673 PHELPS LUCK DR, COLUMBIA, MD 21045-2527
(443) 774-0767
Mailing address
5673 PHELPS LUCK DR, COLUMBIA, MD 21045-2527
(443) 204-7212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP13430
MD
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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