| NPI | 1851842108 |
|---|---|
| Former Legal Business Name | MAYNARD COUNSELING AND CONSULTING, LLC |
| Entity Type | Organization |
| Authorized Contact | VANESSA WASHINGTON Owner/Member 503-444-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR c0084) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2023-03-16 |