Individual
EMMANUEL G KALOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CDCA, RA
Contact information
Practice address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1801343-TRNE
OH
101YP2500X
Professional Counselor
Primary
C.2002894
OH
251S00000X
Community/Behavioral Health Agency
CDCA.172862
OH
405300000X
Prevention Professional
RA.162289
OH
Other
Enumeration date
12/26/2018
Last updated
09/01/2020
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