Individual provider · Type 1 NPI
Elisabeth Maynard, LPC
Professional Counselor · Memphis, TN
NPI number
1780346841
Active
Practice location
4515 Poplar Ave Ste 503
Memphis, TN 38117-7503
Mailing address
3959 Summer Pointe Dr
Olive Branch, MS 38654-2509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5061 (TN) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1780346841
Elisabeth Maynard, LPC's National Provider Identifier is 1780346841, issued on Oct 6, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Memphis, TN. The record was last updated on Oct 6, 2021.