Individual
LANETTE POTEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 955-9227
(541) 734-2410
Mailing address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 955-9227
(541) 734-2410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-12-33
OR
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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