Potts, Kenneth Charles
Potts, Kenneth Charles is an sole proprietor health care provider with primary practice located at 1819 Bay Scott Cir Ste 109 , Naperville IL 60540-1130. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Potts, Kenneth Charles can be contacted via phone (630) 357-2456.Contact Information
Primary practice address
1819 Bay Scott Cir Ste 109
Naperville IL 60540-1130
Phone: (630) 357-2456
Fax: (630) 357-2482
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois | |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois | |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | Illinois |
Profile Details
NPI number | 1225120884 |
---|---|
LBN Legal business name | Potts, Kenneth Charles |
Credentials | LCPC, LMFT, LSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 29th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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