Provider Demographics
NPI:1194214049
Name:GOTTSTEIN, SARAH NATALIE (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NATALIE
Last Name:GOTTSTEIN
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:PO BOX 1204
Mailing Address - Street 2:
Mailing Address - City:GIRDWOOD
Mailing Address - State:AK
Mailing Address - Zip Code:99587-1204
Mailing Address - Country:US
Mailing Address - Phone:907-600-9279
Mailing Address - Fax:877-660-3738
Practice Address - Street 1:405 E FIREWEED LN STE 201
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2145
Practice Address - Country:US
Practice Address - Phone:907-600-9279
Practice Address - Fax:877-660-3738
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health