Individual provider · Type 1 NPI

Diamond M. Thaxton, LPMHC

Mental Health Counselor · Fayetteville, NY

NPI number 1003321860 Active

Practice location

7000 E Genesee St
Fayetteville, NY 13066-1131

Call (315) 446-4122 Map

Mailing address

135 Rider Ave
Syracuse, NY 13207-1111

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X010830 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1003321860

Diamond M. Thaxton, LPMHC's National Provider Identifier is 1003321860, issued on Dec 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NY. The record was last updated on Oct 31, 2023.