Provider Demographics
NPI:1083937197
Name:BOTELHO, JONATHAN JOSEPH LIMA (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:JOSEPH LIMA
Last Name:BOTELHO
Suffix:
Gender:M
Credentials:LMHC
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Mailing Address - Street 1:86 FAUNCE CORNER MALL RD UNIT 460
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-6208
Mailing Address - Country:US
Mailing Address - Phone:508-951-9802
Mailing Address - Fax:508-300-0302
Practice Address - Street 1:86 FAUNCE CORNER MALL RD UNIT 460
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-6208
Practice Address - Country:US
Practice Address - Phone:508-951-9802
Practice Address - Fax:508-300-0302
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2023-09-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health