Rebecca L Potenberg, MS, T-LMHC, LPC
Counselor, Mental Health in Davenport, IA. Individual provider (NPI-1).
NPI number1982304499
StatusActive
Last updated in NPPESMar 6, 2023
Details
- NPI
- 1982304499
- Entity type
- Individual (NPI-1)
- Name
- Rebecca L Potenberg
- Credential
- MS, T-LMHC, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2023
- Certification date
- Mar 4, 2023
- Last updated
- Mar 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 115404 | IA | Yes |
Practice location
2800 Eastern AveDavenport, IA 52803-2012
Phone 563-326-6431
Mailing address
3706 19th AveMoline, IL 61265-4407
Phone 708-268-3909
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