Individual provider · Type 1 NPI

Donald Maynard, LADC

Addiction (Substance Use Disorder) Counselor · South Burlington, VT

NPI number 1205347366 Active

Practice location

75 San Remo Dr
South Burlington, VT 05403-6385

Call (802) 488-7350 Map

Fax (802) 488-6919

Mailing address

208 Flynn Ave Ste 3J
Burlington, VT 05401-5420

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X151-0128935 (VT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205347366

Donald Maynard, LADC's National Provider Identifier is 1205347366, issued on Oct 17, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Burlington, VT. The record was last updated on Oct 17, 2017.