Individual
LYVONNA VONSHELL CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 CROMER ST, SAVANNAH, GA 31407-4801
(912) 844-5629
Mailing address
250 CROMER ST, SAVANNAH, GA 31407-4801
(912) 844-5629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC010074
GA
Other
Enumeration date
06/08/2018
Last updated
10/10/2024
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