Individual
STEPHEN P. KOUTRELAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5212 75TH ST, LUBBOCK, TX 79424-2520
(180) 677-3369
Mailing address
6101 PRIVATE ROAD 6470, LUBBOCK, TX 79416-3352
(180) 677-3369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17617
TX
Other
Enumeration date
04/26/2009
Last updated
04/26/2009
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