Individual
MARY ANNA MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1202 TOWN PARK LN STE 300, EVANS, GA 30809-3477
(706) 210-8855
(706) 432-8775
Mailing address
1202 TOWN PARK LN STE 300, EVANS, GA 30809-3477
(706) 210-8855
(706) 432-8775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC009276
GA
101YP2500X
Professional Counselor
Primary
LPC016494
GA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/01/2023
Last updated
03/13/2026
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