Individual
MICHAEL HENRY POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MLADC
Contact information
Practice address
33 WEST ST, 2ND FLOOR, KEENE, NH 03431-3361
(603) 355-0157
(603) 355-0159
Mailing address
1251 US ROUTE 10, LEMPSTER, NH 03605-3302
(603) 863-7948
(603) 355-0159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0179
NH
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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