Individual
AMY THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 INDUSTRIAL AVE STE 201, MORGANTOWN, WV 26505-2287
(304) 241-1854
(304) 381-2029
Mailing address
425 INDUSTRIAL AVE STE 201, MORGANTOWN, WV 26505-2287
(304) 241-1854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
952
WV
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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