person
Jacob Kulp Gotwals, MA
Professional Counselor in Tucson, Arizona
NPI 1831540210

Jacob Kulp Gotwals is a Professional Counselor based in Tucson, AZ and is specialized in Professional. Jacob Kulp Gotwals practices in Tucson, AZ and has the professional credentials of MA. The NPI Number for Jacob Kulp Gotwals is 1831540210 and holds a License No. LPC.0016856 (Arizona).

The current practice location address for Jacob Kulp Gotwals is 3355 N Wild Daisy Pl, Tucson, AZ and can be reached out via phone at 505-336-0088.

Location: 3355 N Wild Daisy Pl, Tucson, AZ, 85750-3139
person
Provider Profile Details
NPI Number
1831540210
Provider Name
Jacob Kulp Gotwals
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
3355 N Wild Daisy Pl, Tucson, AZ, 85750-3139
Phone Number
505-336-0088
Fax Number
Provider Enumeration Date
06/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3355 N Wild Daisy Pl
City
State
Zip
85750-3139
Phone Number
505-336-0088
Fax Number
person
Provider Business Mailing Address Details
Address
3355 N Wild Daisy Pl
City
State
Zip
85750-3139
Phone Number
505-336-0088
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CCMH0206221 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC.0016856 (Colorado)
Definition
Definition to come...
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