Individual
MR. NICHOLAS MICHAEL POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451023025
MI
101YP2500X
Professional Counselor
Primary
6401226398
MI
106S00000X
Behavior Technician
RBT-17-44099
MI
Other
Enumeration date
12/01/2017
Last updated
07/27/2026
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