| Doctor Name: | JANET M MAYNARD |
| NPI Number: | 1093859472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | CC556 |
| Business Practice Address: | 6076 S Calle Lobo Hereford, AZ - 856159120 |
| Business Phone Number: | 5208030065 |
| Business Fax Number: | |
| Mailing Address: | Po Box 340, HEREFORD |
| State: | AZ |
| Postal Code: | 856150340 |
| Phone Number: | 5208030065 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC556 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |