Tierra Thaxton, BA

NPI #1174712640 in Henderson, Tennessee

Provider Information

NPI Number: 1174712640
Entity Type: Individual
Name: Tierra Thaxton, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 925 E MAIN ST
City: Henderson
State: Tennessee
ZIP Code: 38340-1709
Phone: (731) 989-3401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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