Individual
ALYSSA POTKOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1902 OLDE HOMESTEAD LANE, LANCASTER, PA 17601
(717) 390-0353
(717) 390-1812
Mailing address
PO BOX 597, MOUNTVILLE, PA 17554-0597
(717) 285-7121
(717) 285-5302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861024887
NPI
—
Enumeration date
02/07/2020
Last updated
01/06/2023
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