Individual
MR. DAVID DOUGLAS THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 E STATE BLVD, FORT WAYNE, IN 46805-4700
(260) 471-2300
(260) 471-2778
Mailing address
3010 E STATE BLVD, FORT WAYNE, IN 46805-4700
(260) 471-2300
(260) 471-2778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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