Provider Demographics
NPI:1043986722
Name:GOTSHALL, KAREN JOHNSON (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JOHNSON
Last Name:GOTSHALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 VALLEYDALE RD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2089
Mailing Address - Country:US
Mailing Address - Phone:205-502-7219
Mailing Address - Fax:205-433-7707
Practice Address - Street 1:2344 VALLEYDALE RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2089
Practice Address - Country:US
Practice Address - Phone:205-502-7219
Practice Address - Fax:205-433-7707
Is Sole Proprietor?:No
Enumeration Date:2021-08-21
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3974101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor