Lacey Potter
Peer Specialist in Ada, OK. Individual provider (NPI-1).
NPI number1114448917
StatusActive
Last updated in NPPESJun 30, 2017
Details
- NPI
- 1114448917
- Entity type
- Individual (NPI-1)
- Name
- Lacey Potter
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2017
- Last updated
- Jun 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
15881 County Road 3590Ada, OK 74820-0483
Phone 580-235-3138
Mailing address
Po Box 715Ada, OK 74821-0715
Phone 580-235-3138
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All 57 Peer Specialist providers in Ada · All 1,454 providers in Ada
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