Individual provider · Type 1 NPI
Roula E. Ghantous, LCPC
Counselor · Peoria, IL
NPI number
1437354495
Active
Practice location
4302 W Deermeadow Dr
Peoria, IL 61615-8918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1437354495
Roula E. Ghantous, LCPC's National Provider Identifier is 1437354495, issued on Jun 19, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.