Individual
JAY A. MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
6962 FOREST HILL AVE, RICHMOND, VA 23225-1606
(804) 320-7738
(804) 320-8738
Mailing address
2501 CHERRYTREE LN, RICHMOND, VA 23235-2923
(804) 909-3877
(804) 320-8738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710000108
VA
101YP2500X
Professional Counselor
0701000921
VA
Other
Enumeration date
05/02/2007
Last updated
09/11/2025
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