Individual
REBECCA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3148 S 1100 W, SALT LAKE CITY, UT 84119-3304
(385) 468-8835
Mailing address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(385) 200-0110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
12335055-3501
UT
Other
Enumeration date
04/19/2021
Last updated
07/22/2026
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