MS. Audrey Rae Maynor, M..ED., LPC

NPI #1629388038 in Birmingham, Alabama

Provider Information

NPI Number
1629388038
Entity Type
Individual
Name
MS. Audrey Rae Maynor, M..ED., LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatric Residential Treatment Facility
Credential
M..ED., LPC
Enumeration Date
Oct 19, 2010
Last Updated
Oct 19, 2010

Practice Location

Address
150 GLENWOOD LN
State
Alabama
ZIP Code
35242-5700
Phone
(205) 795-3214

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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