Wanda Gothard

Counselor · Clanton, AL

Individual Active NPI

NPI number 1063178291

Practice location

808 Lay Dam Rd
Clanton, AL 35045-2943
Phone
(205) 280-7733

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NPI record

NPI
1063178291
Entity type
Individual (Type 1)
Enumeration date
November 11, 2021
Last updated
November 11, 2021
Certified
November 11, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 3499 AL

Mailing address

275 County Road 124
Jemison, AL 35085-4025
Phone
(205) 955-0009

About Wanda Gothard

Wanda Gothard is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 808 Lay Dam Rd, Clanton, AL 35045-2943. The NPI number 1063178291 was assigned on November 11, 2021 and the record was last updated on November 11, 2021.

Wanda Gothard lists a license in the registry: #3499 (AL) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wanda Gothard?

The NPI number is 1063178291.

What is the phone number of Wanda Gothard?

The phone number listed for the practice location is (205) 280-7733.

Where is Wanda Gothard located?

808 Lay Dam Rd, Clanton, AL 35045-2943.

What is the taxonomy code for Wanda Gothard?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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