Individual
MR. PETER MAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAC, LPC
Contact information
Practice address
1023 EXECUTIVE PARKWAY, SUITE 10, SAINT LOUIS, MO 63141
(314) 398-5977
Mailing address
2811 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2004024283
MO
Other
Enumeration date
12/27/2007
Last updated
05/05/2015
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