Individual
DONALD MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
75 SAN REMO DR, SOUTH BURLINGTON, VT 05403-6385
(802) 488-7350
(802) 488-6919
Mailing address
208 FLYNN AVE STE 3J, BURLINGTON, VT 05401-5420
(802) 488-6920
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151-0128935
VT
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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