Individual
ALAINA MARIE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
379 FENNELL BLVD, LADY LAKE, FL 32159-3185
(352) 633-5253
Mailing address
15033 FARM RD, GROVELAND, FL 34736-9293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22943
FL
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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