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Latanya Renee Maynard, MA

Counselor in Jacksonville, FL. Individual provider (NPI-1).

NPI number1790259489
StatusActive
Last updated in NPPESJan 15, 2019

Details

NPI
1790259489
Entity type
Individual (NPI-1)
Name
Latanya Renee Maynard
Credential
MA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 15, 2019
Last updated
Jan 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

1131 W 32nd St
Jacksonville, FL 32209-4094

Phone 904-866-5717

Mailing address

2392 Edgewood Ave N
Jacksonville, FL 32254-1725

Phone 904-781-7797

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