Individual
JACOB B MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5819 WINDING HILLS LANE #133, HIXSON, TN 37343
(423) 933-2575
Mailing address
603 CLARENDON ST, CHATTANOOGA, TN 37405-2908
(615) 739-4074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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