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Diamond Santiago Fairley
Mental Health Counselor in Hernando, Mississippi
NPI 1043883069

Diamond Santiago Fairley is a Mental Health Counselor based in Hernando, MS and is specialized in Mental Health. Diamond Santiago Fairley practices in Hernando, MS. The NPI Number for Diamond Santiago Fairley is 1043883069 and holds a License No. (Mississippi).

The current practice location address for Diamond Santiago Fairley is 2705 Highway 51 S, Hernando, MS and can be reached out via phone at 662-449-1808.

Location: 2705 Highway 51 S, Hernando, MS, 38632-2634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043883069
Provider Name
Diamond Santiago Fairley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2705 Highway 51 S, Hernando, MS, 38632-2634
Phone Number
662-449-1808
Fax Number
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2705 Highway 51 S
City
Hernando
State
Mississippi
Zip
38632-2634
Phone Number
662-449-1808
Fax Number
person
Provider Business Mailing Address Details
Address
2705 Highway 51 S
City
Hernando
State
Mississippi
Zip
38632-2634
Phone Number
662-449-1808
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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