Individual
AMBER POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 MAIN ST, NEVADA CITY, CA 95959-2520
(831) 555-5555
Mailing address
132 MAIN ST, NEVADA CITY, CA 95959-2520
(831) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
65419
CA
Other
Enumeration date
09/15/2009
Last updated
01/16/2020
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