Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Potter, BSLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891102836

Mallory Potter, BSLADC is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014

Practice location Address checks out

3329 University Ave SE
Minneapolis, MN 55414-3325
Phone: (612) 454-2297
Fax: (612) 252-0308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 303687 (MN)

Record details

NPI number1891102836
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSLADC
Sole proprietorNo
NPI enumeratedJuly 22, 2014
Last updated in NPPESJuly 22, 2014

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