person
Mr. Richard John Thaxton III, MA,LPC
Mental Health Counselor in Acworth, Georgia
NPI 1477068617

Richard John Thaxton III is a Mental Health Counselor based in Acworth, GA and is specialized in Mental Health. Richard John Thaxton III practices in Acworth, GA and has the professional credentials of MA,LPC. The NPI Number for Richard John Thaxton III is 1477068617 and holds a License No. LPC011689 (Georgia).

The current practice location address for Richard John Thaxton III is 3459 Acworth Due West Rd Nw, Acworth, GA and can be reached out via phone at 678-587-8858.

Location: 3459 Acworth Due West Rd Nw, Acworth, GA, 30101-7894
person
Provider Profile Details
NPI Number
1477068617
Provider Name
Richard John Thaxton III
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
3459 Acworth Due West Rd Nw, Acworth, GA, 30101-7894
Phone Number
678-587-8858
Fax Number
Provider Enumeration Date
12/11/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3459 Acworth Due West Rd Nw
City
State
Zip
30101-5819
Phone Number
678-587-8858
Fax Number
person
Provider Business Mailing Address Details
Address
3459 Acworth Due West Rd Nw
City
State
Zip
30101-5819
Phone Number
678-587-8858
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC011689 (Georgia)
Definition
Definition to come...
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