Individual
JARRED N MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 E 22ND ST STE 4, FREMONT, NE 68025-2661
(402) 727-4288
Mailing address
20613 AMES AVE, ELKHORN, NE 68022-4508
(440) 840-3780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2696
NE
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/24/2018
Last updated
09/17/2023
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