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Individual
JACOB KULP GOTWALS
Active
Individual
JACOB KULP GOTWALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CCMH0206221
NM
101YM0800X
Mental Health Counselor
Primary
LPC-21792
AZ
101YM0800X
Mental Health Counselor
LPC.0016856
CO
101YM0800X
Mental Health Counselor
TPMC1646
FL
101YP2500X
Professional Counselor
CCMH0206221
NM
101YP2500X
Professional Counselor
LPC.0016856
CO
Other
Enumeration date
06/27/2016
Last updated
01/28/2026
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