Individual
MR. GREGORY CHARLES POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCADC
Contact information
Practice address
336 TURKEY TOP RD, PORT MURRAY, NJ 07865-3003
(908) 625-0989
Mailing address
336 TURKEY TOP RD, PORT MURRAY, NJ 07865-3003
(908) 625-0989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05754100
NJ
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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