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George Nikolaos Stavroulakis
Peer Specialist in Grants Pass, Oregon
NPI 1043883234

George Nikolaos Stavroulakis is a Peer Specialist based in Grants Pass, OR. George Nikolaos Stavroulakis practices in Grants Pass, OR. The NPI Number for George Nikolaos Stavroulakis is 1043883234 and holds a License No. (Oregon).

The current practice location address for George Nikolaos Stavroulakis is 1644 Carnahan Dr, Grants Pass, OR and can be reached out via phone at 541-476-2373. You can also correspond with George Nikolaos Stavroulakis through the mailing address at 1215 SW G ST, GRANTS PASS, OR - 97526-2544 (mailing address contact number: 541-467-2373).

Location: 1644 Carnahan Dr, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043883234
Provider Name
George Nikolaos Stavroulakis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1644 Carnahan Dr, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
07/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1644 Carnahan Dr
City
Grants Pass
State
Oregon
Zip
97527-4724
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1644 Carnahan Dr
City
Grants Pass
State
Oregon
Zip
97527-4724
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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