Jason Lee Maynard, TEMP-LPC/MHSP
NPI #1164395497 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1164395497
- Entity Type
- Individual
- Name
- Jason Lee Maynard, TEMP-LPC/MHSP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- TEMP-LPC/MHSP
- Enumeration Date
- Sep 24, 2025
- Last Updated
- Sep 24, 2025
Practice Location
- Address
- 441 E BROAD ST STE G
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-3390
- Phone
- (931) 952-6869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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