Individual
MICHELLE GIANNOULAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
706 E. N STREET, NOME, AK 99762-0966
(907) 443-3344
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/06/2014
Last updated
11/01/2023
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