Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GIDEON PETRUS BOTHA, LPC, LMFT
Active Sole ProprietorMR. GIDEON PETRUS BOTHA, LPC, LMFT is a Professional Counselor healthcare provider located in LEAGUE CITY, Texas. NPI 1356460414 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LEAGUE CITY, TX
Registration Details
- NPI Number
- 1356460414
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2007 (19.339474158603 yrs)
- Last Updated
- Apr 23, 2012
- Licenses
-
200848 (TX)61340 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2160 BRITTANY COLONY DRLEAGUE CITY, TX, 775736246Browse TX providers · Browse ZIP 77573
- Phone
- 2813160548
- Fax
- 2813160548
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in LEAGUE CITY, TX
| Name | Credential | NPI |
|---|---|---|
| MS. KRISTAL LUCILLE WOODBECK | LPC | 1235119165 |
| MS. CAROL A HAASE-GREELEY | LPC | 1467432393 |
| MS. LAURI B CUSICK | LPC | 1588616759 |
| DR. LARNA VEE LOECKLE | LPC | 1417962192 |
| BEN E HARGROVE | LPC, LMFT | 1477565802 |
| ROBERT PATRICK CASEY | L.P.C | 1861592578 |
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.