| Ms Penny Louise Potter, SUDCC | |
|
1770 Cedar St., Rockledge, FL 32955 | |
| (321) 890-1500 | |
| (707) 526-0527 |
| Full Name | Ms Penny Louise Potter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1770 Cedar St., Rockledge, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063920601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12872-R (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Penny Louise Potter, SUDCC 349 Harmony Place, Cocoa, FL 32926 Ph: (707) 280-1705 | Ms Penny Louise Potter, SUDCC 1770 Cedar St., Rockledge, FL 32955 Ph: (321) 890-1500 |
Julia Diane St. Clair, MS, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Admiralty Blvd, Rockledge, FL 32955 Phone: 321-345-0878 | |
Ms. Roberta Van Dusen, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500 | |
Kristine Panning, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-637-7753 | |
Marla Veit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1037 Pathfinder Way Ste 130, Rockledge, FL 32955 Phone: 321-693-5432 | |
Pamela A Homer, APRN Counselor Medicare: Accepting Medicare Assignments Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500 | |
Elizabeth Polomsky, RMHCI Counselor Medicare: Medicare Enrolled Practice Location: 7095 Turner Rd, Rockledge, FL 32955 Phone: 321-446-2113 Fax: 321-241-4605 |