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Individual

MR. JAMES R CIRAKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. A. LPC

Contact information

Practice address
251 RIVER PARK NORTH DR, WOODSTOCK, GA 30188-7835
(404) 293-5654
Mailing address
PO BOX 663, HOLLY SPRINGS, GA 30142-0663
(404) 293-5654

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1557
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055001241A
GA
05
10034882
GA
05
143288-000
GA
Enumeration date
10/08/2005
Last updated
04/21/2025
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