Carly Jae Maxwell

NPI #1508652272 in Fowler, California

Provider Information

NPI Number: 1508652272
Entity Type: Individual
Name: Carly Jae Maxwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 17, 2025
Last Updated: Jul 22, 2025

Practice Location

Address: 311 E MERCED ST
City: Fowler
State: California
ZIP Code: 93625-2316
Phone: (559) 892-9452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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