person
Hannah Elissa Fordham, LPC
Professional Counselor in Vidalia, Georgia
NPI 1780250019

Hannah Elissa Fordham is a Professional Counselor based in Vidalia, GA and is specialized in Professional. Hannah Elissa Fordham practices in Vidalia, GA and has the professional credentials of LPC. The NPI Number for Hannah Elissa Fordham is 1780250019 and holds a License No. LPC012122 (Georgia).

The current practice location address for Hannah Elissa Fordham is 106 E 2Nd St, Vidalia, GA and can be reached out via phone at 912-585-5504 and via fax at 912-525-3026.

Location: 106 E 2Nd St, Vidalia, GA, 30475-0765
person
Provider Profile Details
NPI Number
1780250019
Provider Name
Hannah Elissa Fordham
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
106 E 2Nd St, Vidalia, GA, 30475-0765
Phone Number
912-585-5504
Fax Number
912-525-3026
Provider Enumeration Date
05/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 E 2Nd St
City
State
Zip
30474-4709
Phone Number
912-585-5504
Fax Number
912-525-3026
person
Provider Business Mailing Address Details
Address
106 E 2Nd St
City
State
Zip
30474-4709
Phone Number
912-585-5504
Fax Number
912-525-3026
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC012122 (Georgia)
Definition
Definition to come...
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