Individual
MS. LESLIE ANN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10451 TWIN RIVERS ROAD, COLUMBIA, MD 21044
(410) 997-3557
(410) 964-1791
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83613
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7988815
AETNA
MD
01
—
889628-01
CAREFIRST
MD
01
—
T541-0075
CAREFIRST BCBS
MD
Enumeration date
07/18/2006
Last updated
11/28/2007
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