Wanda Gothard is a Counselor based in Jemison, AL. Wanda Gothard practices in Clanton, AL. The NPI Number for Wanda Gothard is 1063178291 and holds a License No. 3499 (Alabama).
The current practice location address for Wanda Gothard is 808 Lay Dam Rd, Clanton, AL and can be reached out via phone at 205-280-7733.
Location: 808 Lay Dam Rd, Clanton, AL, 35085-4025
Provider Profile Details
NPI Number
1063178291
Provider Name
Wanda Gothard
Credential
Provider Entity Type
Individual
Gender
Female
Address
808 Lay Dam Rd, Clanton, AL, 35085-4025
Phone Number
205-280-7733
Fax Number
Provider Enumeration Date
11/11/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
808 Lay Dam Rd
City
State
Zip
35045-2943
Phone Number
205-280-7733
Fax Number
Provider Business Mailing Address Details
Address
808 Lay Dam Rd
City
State
Zip
35045-2943
Phone Number
205-280-7733
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
3499 (Alabama)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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