Organization · Type 2 NPI
Kris Maynard LCSW Ltd
Mental Health Clinic/Center (Including Community Mental Health Center) · La Grange, IL
NPI number
1174163463
Active
Practice location
1030 S La Grange Rd Ste 9
La Grange, IL 60525-2893
Fax (708) 588-1501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in La Grange
About NPI 1174163463
Kris Maynard LCSW Ltd's National Provider Identifier is 1174163463, issued on Jan 14, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in La Grange, IL. The record was last updated on Jul 5, 2021.