Individual provider · Type 1 NPI

Jamie Nicole Maynard-Gilliam

Addiction (Substance Use Disorder) Counselor · Louisa, KY

NPI number 1205545316 Active

Practice location

125 S Main Cross St
Louisa, KY 41230-1065

Call (606) 638-0938 Map

Mailing address

332 River Bend Rd
Louisa, KY 41230-1407

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1205545316

Jamie Nicole Maynard-Gilliam's National Provider Identifier is 1205545316, issued on Nov 17, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisa, KY. The record was last updated on Nov 17, 2022.