Individual
JANET M MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6076 S CALLE LOBO, HEREFORD, AZ 85615-9120
(520) 803-0065
Mailing address
PO BOX 340, HEREFORD, AZ 85615-0340
(520) 803-0065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC556
ME
101YP2500X
Professional Counselor
Primary
LPC12387
AZ
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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