Individual
AMANDA M POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC, MHRT-C
Contact information
Practice address
13 BIRCHWOOD AVE, WINDHAM, ME 04062-5125
(207) 572-6705
Mailing address
13 BIRCHWOOD AVE, WINDHAM, ME 04062-5125
(207) 572-6705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AD9046
ME
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
102X00000X
Poetry Therapist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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