JASON LEE MAYNARD

COOKEVILLE, TN
NPI1164395497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TN  7880)
Enumeration Date2025-09-24
Last Update Date2025-09-24
Business Address
JASON LEE MAYNARD temp-LPC/MHSP
441 E BROAD ST STE G
COOKEVILLE, TN 38501-3390
Phone number: 931-952-6869
Mailing Address
JASON LEE MAYNARD temp-LPC/MHSP
7314 SPARTA HWY
SPARTA, TN 38583-4186
Phone number: 931-952-6869
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