Individual
DR. JESSIE M MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP, PSYD, CAADC
Contact information
Practice address
1199 TEAKWOOD CIR, HASLETT, MI 48840-9734
(202) 630-2790
Mailing address
1199 TEAKWOOD CIR, HASLETT, MI 48840-9734
(202) 630-2790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00917
MI
101YM0800X
Mental Health Counselor
6301015286
MI
103TC0700X
Clinical Psychologist
Primary
6301015286
MI
103TP2701X
Group Psychotherapy Psychologist
6301015286
MI
Other
Enumeration date
02/15/2009
Last updated
05/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us