Individual provider · Type 1 NPI
Douglas Faxon, Jr., MS
Mental Health Counselor · Philadelphia, PA
NPI number
1457863276
Active
Practice location
7657 Gilbert St
Philadelphia, PA 19150-2605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1457863276
Douglas Faxon, Jr., MS's National Provider Identifier is 1457863276, issued on Nov 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 2, 2017.