Potter, Charity

Potter, Charity is an individual health care provider with primary practice located at 353 N 4Th Ave Suite 110, Pocatello ID 83201-6390. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Potter, Charity can be contacted via phone (208) 233-7832.

Contact Information

Primary practice address
353 N 4Th Ave Suite 110 Pocatello ID 83201-6390
Phone: (208) 233-7832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-4601 Idaho
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW-25961 Idaho

Profile Details

NPI number 1952420077
LBN Legal business name Potter, Charity
Credentials LCPC, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Mar 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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