Individual
MARY ELIZABETH FAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5205 MARYLAND WAY STE 310, BRENTWOOD, TN 37027-1049
(855) 593-4357
Mailing address
5205 MARYLAND WAY STE 310, BRENTWOOD, TN 37027-1049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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