Jeremy Potter, LICSW
Counselor, Mental Health in Marlborough, MA. Individual provider (NPI-1).
NPI number1023242534
StatusActive
Last updated in NPPESMay 12, 2009
Details
- NPI
- 1023242534
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Potter
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2009
- Last updated
- May 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 114179 | MA | Yes |
Practice location
340 Maple St4th Floor
Marlborough, MA 01752-3200
Phone 508-485-9300
Mailing address
17 Saxon RdWorcester, MA 01602-1521
Phone 508-395-6857
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All 130 Mental Health Counselor providers in Marlborough · All 3,327 providers in Marlborough
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