person
Diamond M Thaxton, LPMHC
Mental Health Counselor in Fayetteville, New York
NPI 1003321860

Diamond M Thaxton is a Mental Health Counselor based in Syracuse, NY and is specialized in Mental Health. Diamond M Thaxton practices in Fayetteville, NY and has the professional credentials of LPMHC. The NPI Number for Diamond M Thaxton is 1003321860 and holds a License No. 010830 (New York).

The current practice location address for Diamond M Thaxton is 7000 E Genesee St, Fayetteville, NY and can be reached out via phone at 315-446-4122.

Location: 7000 E Genesee St, Fayetteville, NY, 13207-1111
person
Provider Profile Details
NPI Number
1003321860
Provider Name
Diamond M Thaxton
Credential
LPMHC
Provider Entity Type
Individual
Gender
Female
Address
7000 E Genesee St, Fayetteville, NY, 13207-1111
Phone Number
315-446-4122
Fax Number
Provider Enumeration Date
12/02/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7000 E Genesee St
City
State
Zip
13066-1131
Phone Number
315-446-4122
Fax Number
person
Provider Business Mailing Address Details
Address
7000 E Genesee St
City
State
Zip
13066-1131
Phone Number
315-446-4122
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
010830 (New York)
Definition
Definition to come...
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