DAVE POTTER

MOSCOW, ID
NPI1902808736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-3724)
Enumeration Date2005-08-11
Last Update Date2007-07-08
Business Address
-- DAVE POTTER L.C.P.C.
814 S WASHINGTON ST
MOSCOW, ID 83843-3049
Phone number: 208-883-0619
Mailing Address
-- DAVE POTTER L.C.P.C.
1009 TOLO TRL
MOSCOW, ID 83843-8767
Phone number: 208-882-6834
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