Individual
BREANNA MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 BATH AVE STE 596, ASHLAND, KY 41101-3686
(606) 385-1580
(855) 743-0088
Mailing address
1212 BATH AVE STE 596, ASHLAND, KY 41101-3686
(606) 385-1580
(855) 743-0088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
298777
KY
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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