Individual provider · Type 1 NPI

Latanya Renee Maynard, MA

Counselor · Jacksonville, FL

NPI number 1790259489 Active

Practice location

1131 W 32nd St
Jacksonville, FL 32209-4094

Call (904) 866-5717 Map

Mailing address

2392 Edgewood Ave N
Jacksonville, FL 32254-1725

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1790259489

Latanya Renee Maynard, MA's National Provider Identifier is 1790259489, issued on Jan 15, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 15, 2019.