Individual
MARILYN LAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LCMHC
Contact information
Practice address
719 GREENWAY RD STE 309A, BOONE, NC 28607-3120
(828) 265-4878
Mailing address
423 FAWN DR, BOONE, NC 28607-8462
(828) 265-4878
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14013
BCBS OF NC
NC
01
—
6076650
AETNA
NC
05
—
6102980
—
NC
Enumeration date
03/14/2006
Last updated
04/23/2024
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