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: |