JOHN ROBERT POTTER

LONGVIEW, WA
NPI1932698008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60741004)
Enumeration Date2018-05-04
Last Update Date2020-08-11
Business Address
JOHN ROBERT POTTER CDPT
551 21ST AVE
LONGVIEW, WA 98632-1303
Phone number: 360-270-8109
Mailing Address
JOHN ROBERT POTTER CDPT
551 21ST AVE
LONGVIEW, WA 98632-1303
Phone number: 360-270-8109
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