Individual
RONALD POTTER-EFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2125 HEIGHTS DR, SUITE 2D, EAU CLAIRE, WI 54701-4562
(715) 832-8432
(715) 832-5007
Mailing address
2125 HEIGHTS DR, SUITE 2D, EAU CLAIRE, WI 54701-4562
(715) 832-8432
(715) 832-5007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2409-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39555000
—
WI
Enumeration date
08/22/2007
Last updated
10/12/2009
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