Individual provider · Type 1 NPI
Jacob Kulp Gotwals, MA
Mental Health Counselor · Tucson, AZ
NPI number
1831540210
Active
Practice location
3355 N Wild Daisy Pl
Tucson, AZ 85750-3139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0016856 (CO) |
| Mental Health Counselor | 101YM0800X | CCMH0206221 (NM) |
| Mental Health Counselor Primary | 101YM0800X | LPC-21792 (AZ) |
| Mental Health Counselor | 101YM0800X | TPMC1646 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1831540210
Jacob Kulp Gotwals, MA's National Provider Identifier is 1831540210, issued on Jun 27, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucson, AZ. The record was last updated on Jan 28, 2026.