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Individual

DARILOU DEE POTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC-BC LPC LMHC

Contact information

Practice address
1675 WINTER ST NE, SALEM, OR 97303
(503) 585-0351
(503) 585-0212
Mailing address
4743 FIR DELL DR SE, SALEM, OR 97302-4812
(503) 332-6134

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1643
OR
101YM0800X
Mental Health Counselor
LH00006910
WA
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
05/15/2006
Last updated
01/20/2022
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