Individual
REBECCA L POTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, T-LMHC, LPC
Contact information
Practice address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 326-6431
Mailing address
3706 19TH AVE, MOLINE, IL 61265-4407
(708) 268-3909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
115404
IA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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