Doctor Name: | MARCOS GHALI |
NPI Number: | 1184933574 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LPC |
License Number: | C.0900504 |
Business Practice Address: | 3755 S Raccoon Rd Canfield, OH - 444069372 |
Business Phone Number: | 3307935566 |
Business Fax Number: | 3307937646 |
Mailing Address: | 30604 Adams Ln, WESTLAKE |
State: | OH |
Postal Code: | 441456449 |
Phone Number: | 4407243028 |
Fax Number: | 4408717545 |
NPI Enumeration Date: | 10/01/2010 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C.0900504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |