Individual provider · Type 1 NPI
Joshua J. Maynard, LAC
Addiction (Substance Use Disorder) Counselor · Fargo, ND
NPI number
1366674723
Active
Practice location
4227 9th Ave S
Fargo, ND 58103-2018
Fax (701) 277-0306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1601 (ND) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366674723
Joshua J. Maynard, LAC's National Provider Identifier is 1366674723, issued on Aug 19, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fargo, ND. The record was last updated on Aug 19, 2009.