Individual
MS. KARA MICHELE POTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC-CS
Contact information
Practice address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
(216) 623-6555
Mailing address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
(216) 623-6555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101037 - SUPV
OH
101YP2500X
Professional Counselor
Primary
E. 0600170 - SUPV
OH
Other
Enumeration date
06/15/2009
Last updated
08/05/2021
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