Individual provider · Type 1 NPI

George Nikolaos Stavroulakis

Peer Specialist · Grants Pass, OR

NPI number 1043883234 Active

Practice location

1644 Carnahan Dr
Grants Pass, OR 97527-4724

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1043883234

George Nikolaos Stavroulakis's National Provider Identifier is 1043883234, issued on Jul 23, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Jul 23, 2021.