Wade Bailey Potter
Wade Bailey Potter is a Counselor in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2022
Practice location Address checks out
2548 E Kenosha StBroken Arrow, OK 74014-6712
Phone: (918) 355-0993
Fax: (918) 355-0995
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (OK) |
|---|
Record details
| NPI number | 1053033266 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 14, 2022 |
| Last updated in NPPES | January 16, 2024 |
| Certification date | January 16, 2024 |
| Mailing address | 2548 E Kenosha St, Broken Arrow, OK 74014-6712 |
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