Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHANNES PETRUS ROUX, PHD LMFT
Active Sole ProprietorDR. JOHANNES PETRUS ROUX, PHD LMFT is a Counselor healthcare provider located in LARKSPUR, California. NPI 1225791841 is currently active in the NPPES registry. Verify at CMS.
Counselor · LARKSPUR, CA
Registration Details
- NPI Number
- 1225791841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2021 (4.8638065508271 yrs)
- Last Updated
- Oct 20, 2021
- Licenses
-
31698 (CA)31698 (CA)31698 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 RIVIERA CIRLARKSPUR, CA, 949391544Browse CA providers · Browse ZIP 94939
- Phone
- 4152720293
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Counselor
Other Counselor Providers in LARKSPUR, CA
| Name | Credential | NPI |
|---|---|---|
| ALEXANDER WIDAS | BS, LMT, CHT, REV | 1114659927 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.