# GORDON MAYNARD COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871342568
- **Authorized official:** GORDON E MAYNARD LICSW (SOLE MEMBER)
- **Authorized official phone:** (208) 660-2943

## Contact information

- **Practice address:** 343 UPPER DEPOT RD, MARSHFIELD, VT 05658-4417
- **Practice address phone:** (208) 660-2943
- **Mailing address:** 343 UPPER DEPOT RD, MARSHFIELD, VT 05658-4417
- **Mailing address phone:** (208) 660-2943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 05/15/2024