Individual
DR. JACQUES KHOROZIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. NBCC, CADC, SA
Contact information
Practice address
1755 THE EXCHANGE SE STE 375, ATLANTA, GA 30339-7405
(404) 594-1770
Mailing address
1755 THE EXCHANGE SE STE 375, ATLANTA, GA 30339-7405
(404) 594-1770
(770) 648-5797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770947871
PRACTICE ORGANIZATION'S NPI
GA
Enumeration date
02/20/2020
Last updated
02/20/2020
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