| Ms Ashanti Ida Potter, | |
|
2575 Nw Kline St., Roseburg, OR 97471 | |
| (541) 673-3504 | |
| Not Available |
| Full Name | Ms Ashanti Ida Potter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2575 Nw Kline St., Roseburg, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174116552 | NPI | - | NPPES |
| RG600X5Y | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ashanti Ida Potter, P.o. Box 1722, Myrtle Creek, OR 97457 Ph: (541) 733-8899 | Ms Ashanti Ida Potter, 2575 Nw Kline St., Roseburg, OR 97471 Ph: (541) 673-3504 |
Hanna Rae Culbertson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 Ne Stephens St, Roseburg, OR 97470 Phone: 541-229-7089 Fax: 541-229-9908 | |
Elisabeth Erin Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Se Jackson St, Roseburg, OR 97470 Phone: 541-464-6660 | |
Mr. Dale Edward Williams, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554 | |
Inger C Boyd, MA ED., BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554 | |
Mae L Hoopes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642 | |
Sarah Rebecca Jo Moon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470 Phone: 541-672-2691 | |
Lois Francis-wolf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471 Phone: 541-672-5667 Fax: 541-672-1048 |