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Individual

DR. GEORGE STOUPAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LCMHC

Contact information

Practice address
2594 REYNOLDA RD STE D, WINSTON SALEM, NC 27106-4601
(561) 779-9598
Mailing address
720 FINSBURY RD, WINSTON SALEM, NC 27104-1715
(561) 779-9598

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12159
FL
101YM0800X
Mental Health Counselor
Primary
16866
NC
106H00000X
Marriage & Family Therapist
3904
FL

Other

Enumeration date
12/12/2013
Last updated
10/29/2024
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