Individual
DR. ANA ALICIA AMORICITY POTTHAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCSW, LCDC
Contact information
Practice address
667 ARROYO SIERRA, NEW BRAUNFELS, TX 78130-0190
(210) 508-4688
Mailing address
667 ARROYO SIERRA, NEW BRAUNFELS, TX 78130-0190
(210) 508-4688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15054
TX
101YM0800X
Mental Health Counselor
59774
TX
1041C0700X
Clinical Social Worker
Primary
59774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15054
LICENSED CHEMICAL DEPENDENCY COUNSELOR
TX
01
—
59774
LICENSED CLINICAL SOCIAL WORKER
TX
Enumeration date
12/16/2020
Last updated
11/21/2023
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