Gary Potter Counseling Llc

NPI 1093150047 - Clinic/Center - 261QM0801X

NPI Details
NPI 1093150047
Enumeration Date 05/03/2013
Last Updated 06/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GARY GARY
Position OWNER
Phone (308) 237-6865
Fax
Practice Location
2811 30TH AVE
KEARNEY NE, 68845-4036, US
Phone (308) 237-6865
Fax
Business Location
2811 30TH AVE
KEARNEY NE, 68845-4036, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State Nebraska
License Number 1010
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According to our database, Gary Potter Counseling Llc NPI is 1093150047, taxonomy code is 261QM0801X and license number is 1010, license state is located at Nebraska. Gary Potter Counseling Llc physically located at 2811 30th Ave, Kearney NE, 68845-4036. NPI Number 1033115704 has the healthcare provider type.

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1093150047 NPI number is provided on an as is basis without warranty of any kind. 1093150047 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Potter Counseling Llc are for informational purposes only.