Individual
MR. DEMETRIOS N PERATSAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD, MS, LPC
Contact information
Practice address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8114
(757) 255-7126
Mailing address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8114
(757) 255-7126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002438
VA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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