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NPI Code Detail

MEDICARE: DANIEL JAMES POTTER

MEDICARE:   DANIEL JAMES POTTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1376491753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL JAMES POTTER
Provider Business Mailing Address
First Line : 2 ACADEMY ST RM 200
Second Line :
City : MAYVILLE
State : NY
Zip : 14757-1050
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 E 3RD ST STE 5
Second Line :
City : JAMESTOWN
State : NY
Zip : 14701-5433
Country : US
Telephone Number : 716-661-8330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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