Donald Maynard, LADC
Counselor, Addiction (Substance Use Disorder) in South Burlington, VT. Individual provider (NPI-1).
NPI number1205347366
StatusActive
Last updated in NPPESOct 17, 2017
Details
- NPI
- 1205347366
- Entity type
- Individual (NPI-1)
- Name
- Donald Maynard
- Credential
- LADC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2017
- Last updated
- Oct 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 151-0128935 | VT | Yes |
Practice location
75 San Remo DrSouth Burlington, VT 05403-6385
Phone 802-488-7350 · Fax 802-488-6919
Mailing address
208 Flynn Ave Ste 3jBurlington, VT 05401-5420
Phone 802-488-6920 · Fax 802-488-6919
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All 21 Addiction (Substance Use Disorder) Counselor providers in South Burlington · All 1,091 providers in South Burlington
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