Individual
MRS. CHRISTINE POTTS-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4818 MORAGA LN, STOCKTON, CA 95206-6382
(775) 848-7893
Mailing address
4818 MORAGA LN, STOCKTON, CA 95206-6382
(775) 848-7893
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163W00000X
Registered Nurse
Primary
37149
CA
Other
Enumeration date
11/08/2011
Last updated
06/20/2022
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