Individual
MRS. JESSICA A POTTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MA, CADC, LMHC
Contact information
Practice address
8450 HICKMAN RD STE 10, CLIVE, IA 50325-4307
(713) 837-6294
(515) 608-4612
Mailing address
8450 HICKMAN RD STE 10, CLIVE, IA 50325-4307
(515) 643-6563
(515) 643-6598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
115248
IA
Other
Enumeration date
10/23/2018
Last updated
10/07/2024
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