Individual provider · Type 1 NPI

Diamond Santiago Fairley

Mental Health Counselor · Hernando, MS

NPI number 1043883069 Active

Practice location

2705 Highway 51 S
Hernando, MS 38632-2634

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043883069

Diamond Santiago Fairley's National Provider Identifier is 1043883069, issued on Jul 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hernando, MS. The record was last updated on Jul 19, 2021.