Most Relevant Information
Provider Data
| NPI Number: | 1003073099 |
| Provider Name: | CAROL POTTER MA, BCBA, LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2008 |
| Last Updated: | 03/04/2024 |
Provider Practice Location
2200 HUNT ST
DETROIT
MI
482075605
Practice Location Phone/Fax
| Phone: | 2485372516 |
| Fax: |
Provider Mailing Location
2200 HUNT ST
DETROIT
MI
482075605
Provider Mailing Phone/Fax
| Phone: | 2485372516 |
| Fax: |