PENNY LOUISE POTTER

ROCKLEDGE, FL
NPI1063920601
Former NamePENNY LOUISE TREICHEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  12872-R)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-01-17
Last Update Date2022-01-25
Business Address
Ms. PENNY LOUISE POTTER SUDCC
1770 CEDAR ST.
ROCKLEDGE, FL 32955
Phone number: 321-890-1500
Mailing Address
Ms. PENNY LOUISE POTTER SUDCC
349 HARMONY PLACE
COCOA, FL 32926
Phone number: 707-280-1705