MR. Scott Lee Maynard, LMSW

NPI #1659395150 in Peterson Afb, Colorado

Provider Information

NPI Number
1659395150
Entity Type
Individual
Name
MR. Scott Lee Maynard, LMSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LMSW
Enumeration Date
Jul 27, 2006
Last Updated
Mar 13, 2009

Practice Location

Address
559 VINCENT ST
Address 2
ATTN: 21 MDOS/SGOH--MENTAL HEALTH
ZIP Code
80914-1541
Phone
(719) 556-7804

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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