Individual
MS. GRETCHEN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
871 ANDREA DR, FARMINGTON, NM 87401-6726
(505) 566-4545
Mailing address
1307 OAKWOOD DR, BLOOMFIELD, NM 87413-6376
(505) 860-3365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0131611
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/25/2010
Last updated
10/08/2019
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