Provider Demographics
NPI:1124298955
Name:PAULS, GEORGE NIKOLAS (MSW, CHES)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:NIKOLAS
Last Name:PAULS
Suffix:
Gender:M
Credentials:MSW, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 MUSCAT CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-6715
Mailing Address - Country:US
Mailing Address - Phone:925-513-2495
Mailing Address - Fax:
Practice Address - Street 1:1323 MUSCAT CT
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-6715
Practice Address - Country:US
Practice Address - Phone:925-513-2495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health