Individual
RACHAEL CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1736 SEVER RD, LAWRENCEVILLE, GA 30043-4111
(770) 508-0437
Mailing address
980 WALTHER BLVD, APT 1311, LAWRENCEVILLE, GA 30043-5485
(770) 508-0437
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001335
GA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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