Individual
JASMINE MARIA POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8406 SIX FORKS RD, STE. 204, RALEIGH, NC 27615-3074
(919) 617-9656
Mailing address
8406 SIX FORKS RD, STE. 204, RALEIGH, NC 27615-3074
(919) 617-9656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10250
NC
Other
Enumeration date
06/19/2013
Last updated
03/01/2017
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