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1477068617
RICHARD JOHN THAXTON
ACWORTH, GA
NPI
1477068617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC011689)
Enumeration Date
2017-12-11
Last Update Date
2024-01-16
Business Address
Mr. RICHARD JOHN THAXTON MA, LPC
3459 ACWORTH DUE WEST RD NW
ACWORTH, GA 30101-5819
Phone number: 678-587-8858
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Mailing Address
Mr. RICHARD JOHN THAXTON MA, LPC
959 FAIRLONG DR NW
ACWORTH, GA 30101-7894
Phone number:
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