Individual provider · Type 1 NPI

Jackie Maynard, PERSP

Peer Specialist · Prestonsburg, KY

NPI number 1003787367 Active

Practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Fax (606) 886-4433

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1003787367

Jackie Maynard, PERSP's National Provider Identifier is 1003787367, issued on Sep 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Prestonsburg, KY. The record was last updated on Sep 17, 2025.