Provider Demographics
NPI:1376063586
Name:SAXTON, RICH T
Entity Type:Individual
Prefix:
First Name:RICH
Middle Name:T
Last Name:SAXTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2967 100TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-5506
Mailing Address - Country:US
Mailing Address - Phone:515-829-9344
Mailing Address - Fax:515-864-0305
Practice Address - Street 1:2967 100TH ST STE 6
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-5506
Practice Address - Country:US
Practice Address - Phone:515-829-9344
Practice Address - Fax:515-864-0305
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor