Jackie Maynard, PERSP
Peer Specialist in Prestonsburg, KY. Individual provider (NPI-1).
NPI number1003787367
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1003787367
- Entity type
- Individual (NPI-1)
- Name
- Jackie Maynard
- Credential
- PERSP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2025
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
104 S Front AvePrestonsburg, KY 41653-1614
Phone 606-886-8572 · Fax 606-886-4433
Mailing address
104 S Front AvePrestonsburg, KY 41653-1614
Phone 606-886-8572 · Fax 606-886-4433
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All 178 Peer Specialist providers in Prestonsburg · All 3,624 providers in Prestonsburg
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