Provider Demographics
NPI:1467875815
Name:KNOUS, MICHAELE ANN (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:MICHAELE
Middle Name:ANN
Last Name:KNOUS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 BIG RAIL DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-460-4611
Mailing Address - Fax:630-852-2841
Practice Address - Street 1:326 BIG RAIL DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-460-4611
Practice Address - Fax:630-852-2841
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.010244101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health