LEA POTTER

BRONX, NY
NPI1790539112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  23724)
Enumeration Date2024-04-12
Last Update Date2024-04-12
Business Address
LEA POTTER CASAC
3584 JEROME AVE
BRONX, NY 10467-1006
Phone number: 718-653-1537
Mailing Address
LEA POTTER CASAC
79 GLENRIDGE RD
GLENVILLE, NY 12302-4528
Phone number: 518-952-8368