Individual
NANCY MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 WHITNEY LN, ROLLA, MO 65401-3633
(719) 491-6595
Mailing address
604 WHITNEY LN, ROLLA, MO 65401-3633
(719) 491-6595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2026003724
MO
101Y00000X
Counselor
Primary
37AC00659000
NJ
101Y00000X
Counselor
37PC01190600
NJ
101Y00000X
Counselor
MHC-1192-0
HI
Other
Enumeration date
08/26/2022
Last updated
04/20/2026
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