Individual
DR. ELENA N/A POTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.FC
Contact information
Practice address
3500 N STATE ROAD 7 STE 211, LAUDERDALE LAKES, FL 33319-5625
(954) 578-8399
(954) 578-0145
Mailing address
7350 NW 18TH ST APT 202, MARGATE, FL 33063-6866
(954) 701-5701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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