GEORGE NIKOLAOS STAVROULAKIS NPI 1043883234

NPI Information

George Nikolaos Stavroulakis is a peer specialist in Grants Pass, OR. The provider is 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. George Nikolaos Stavroulakis NPI is 1043883234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1644 CARNAHAN DR
GRANTS PASS, OR
ZIP 97527-724
Phone: (541) 476-2373

The enumeration date for this NPI number is 7/23/2021 and was last updated on 7/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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