Individual
CHANELLE ATSYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1808 OVER LAKE DR SE, CONYERS, GA 30013-6608
(678) 806-3468
Mailing address
1808 OVER LAKE DR SE, CONYERS, GA 30013-6608
(678) 806-3468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008176
—
GA
Enumeration date
11/28/2021
Last updated
11/28/2021
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