Diamond Santiago Fairley

NPI #1043883069 in Hernando, Mississippi

Provider Information

NPI Number: 1043883069
Entity Type: Individual
Name: Diamond Santiago Fairley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 19, 2021
Last Updated: Jul 19, 2021

Practice Location

Address: 2705 HIGHWAY 51 S
City: Hernando
State: Mississippi
ZIP Code: 38632-2634
Phone: (662) 449-1808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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