Potter, Charles

Potter, Charles is an sole proprietor health care provider with primary practice located at 1251 Nilles Rd Ste 5 , Fairfield OH 45014-7205. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Potter, Charles can be contacted via phone (513) 939-0300.

Contact Information

Primary practice address
1251 Nilles Rd Ste 5 Fairfield OH 45014-7205
Phone: (513) 939-0300
Fax: (513) 939-0310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1265888259
LBN Legal business name Potter, Charles
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2016
Last updated Jun 18th, 2019 - about 5 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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