KIRK N JAMGOTCHIAN

CARROLLTON, GA
NPI1639231251
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  ICADC 24574)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
-- KIRK N JAMGOTCHIAN ICADC
113 - B NEWNAN STREET
CARROLLTON, GA 30117
Phone number: 770-214-5066
Mailing Address
-- KIRK N JAMGOTCHIAN ICADC
142 DEERFIELD LN
CARROLLTON, GA 30116-5010
Phone number: 770-838-1420