ROBERT POTTER

PRESCOTT, AZ
NPI1548669039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2014-08-20
Last Update Date2014-08-20
Business Address
ROBERT POTTER LASAC
1630 SHOUP ST
PRESCOTT, AZ 86305-1343
Phone number: 928-277-2448
Mailing Address
ROBERT POTTER LASAC
PO BOX 12443
PRESCOTT, AZ 86304-2443
Phone number: 928-380-1526
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