Diamond M Thaxton, LPMHC
NPI #1003321860 in Fayetteville, New York
Provider Information
- NPI Number
- 1003321860
- Entity Type
- Individual
- Name
- Diamond M Thaxton, LPMHC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPMHC
- Enumeration Date
- Dec 2, 2017
- Last Updated
- Oct 31, 2023
Practice Location
- Address
- 7000 E GENESEE ST
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-1131
- Phone
- (315) 446-4122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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