NPI Profile for AMANDA M POTTER in WINDHAM, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Behavior Technician |
106S00000X | |||
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X | |||
Poetry Therapist |
102X00000X |
| NPI # | 1609769421 |
|
| Status | Active | |
| Credentials | CADC, MHRT-C | |
| Entity | Individual | |
| Enumeration date | 05/30/2025 | |
| Last updated | 05/30/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMANDA M POTTER
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