Maynard, Jessie M

Maynard, Jessie M is an sole proprietor health care provider with primary practice located at 585 Jewett Rd , Mason MI 48854-8729. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Maynard, Jessie M can be contacted via phone (517) 833-8100.

Contact Information

Primary practice address
585 Jewett Rd Mason MI 48854-8729
Phone: (517) 833-8100
Fax: (517) 676-5207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301015286 Michigan
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 6301015286 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6301015286 Michigan
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C-00917 Michigan

Profile Details

NPI number 1710126750
LBN Legal business name Maynard, Jessie M
Credentials LP, PSYD, CAADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2009
Last updated Aug 16th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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