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Dr. George Stoupas, Ph.D., LCMHC

Counselor, Mental Health in Winston Salem, NC. Individual provider (NPI-1).

NPI number1699106906
StatusActive
Last updated in NPPESOct 29, 2024

Details

NPI
1699106906
Entity type
Individual (NPI-1)
Name
Dr. George Stoupas
Credential
Ph.D., LCMHC
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 12, 2013
Certification date
Oct 29, 2024
Last updated
Oct 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health16866NCYes
106H00000X Marriage & Family Therapist3904FL
101YM0800X Counselor, Mental Health12159FL

Practice location

2594 Reynolda Rd Ste D
Winston Salem, NC 27106-4601

Phone 561-779-9598

Mailing address

720 Finsbury Rd
Winston Salem, NC 27104-1715

Phone 561-779-9598

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