DIAMOND M THAXTON

FAYETTEVILLE, NY
NPI1003321860
Former NameDIAMOND M BRELAND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  010830)
Enumeration Date2017-12-02
Last Update Date2023-10-31
Business Address
DIAMOND M THAXTON LPMHC
7000 E GENESEE ST
FAYETTEVILLE, NY 13066-1131
Phone number: 315-446-4122
Mailing Address
DIAMOND M THAXTON LPMHC
135 RIDER AVE
SYRACUSE, NY 13207-1111
Phone number: 315-414-8558
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