Most Relevant Information
Provider Data
| NPI Number: | 1003535303 |
| Provider Name: | NICOLE C POTOSKI LCPC CADC CODP I |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2022 |
| Last Updated: | 09/11/2022 |
Provider Practice Location
250 S NORTHWEST HWY STE 110
PARK RIDGE
IL
600684237
Practice Location Phone/Fax
| Phone: | 8884287890 |
| Fax: |
Provider Mailing Location
4241 N MASON AVE
CHICAGO
IL
606341622
Provider Mailing Phone/Fax
| Phone: | 7732835063 |
| Fax: |