Search › Illinois › 101Y00000X
Roula Ghantous, LCPC
NPI 1437354495 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4302 W Deermeadow Dr
Peoria, IL 61615 - Phone
- (309) 264-3970
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois