MR. Gideon Petrus Botha, LPC, LMFT
NPI #1356460414 in League City, Texas
Provider Information
- NPI Number
- 1356460414
- Entity Type
- Individual
- Name
- MR. Gideon Petrus Botha, LPC, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, LMFT
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Apr 23, 2012
Practice Location
- Address
- 2160 BRITTANY COLONY DR
- City
- League City
- State
- Texas
- ZIP Code
- 77573-6246
- Phone
- (281) 316-0548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Counselor - Professional — Professional |
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