Individual
RITA T MAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
327 1ST AVE NW, HICKORY, NC 28601-6122
(828) 695-5900
(828) 695-4256
Mailing address
P.O. BOX, HILDEBRAN, NC 28637-0842
(828) 397-6259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
896
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111810
—
NC
Enumeration date
03/30/2007
Last updated
08/20/2016
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