Hannah Elissa Fordham, LPC

NPI #1780250019 in Vidalia, Georgia

Provider Information

NPI Number: 1780250019
Entity Type: Individual
Name: Hannah Elissa Fordham, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 106 E 2ND ST
City: Vidalia
State: Georgia
ZIP Code: 30474-4709
Phone: (912) 585-5504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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