Champion, Elaine Potter
Champion, Elaine Potter is an sole proprietor health care provider with primary practice located at 1241 Mall Dr , North Chesterfield VA 23235-4879. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Champion, Elaine Potter can be contacted via phone (804) 310-7620.Contact Information
Primary practice address
1241 Mall Dr
North Chesterfield VA 23235-4879
Phone: (804) 310-7620
Fax: (804) 421-7127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710101850 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701005122 | Virginia |
Profile Details
| NPI number | 1144642984 |
|---|---|
| LBN Legal business name | Champion, Elaine Potter |
| Credentials | LPC, CSAC, CRC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2014 |
| Last updated | Jan 14th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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