| Gordon Maynard Counseling Services Llc | |
|
343 Upper Depot Rd Marshfield VT 05658-4417 | |
| (208) 660-2943 | |
| Not Available |
| Full Name | Gordon Maynard Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 343 Upper Depot Rd, Marshfield, Vermont |
| Authorized Official Name and Position | Gordon E Maynard (SOLE MEMBER) |
| Authorized Official Contact | 2086602943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Maynard Counseling Services Llc 343 Upper Depot Rd Marshfield VT 05658-4417 Ph: (208) 660-2943 | Gordon Maynard Counseling Services Llc 343 Upper Depot Rd Marshfield VT 05658-4417 Ph: (208) 660-2943 |
| NPI Number | 1871342568 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871342568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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