NPI 1023879236

Jasmine Maynard

Practitioner Counselor Yorktown, VA

Practice location

Address: 3630 George Washington Mem Hwy STE F1, Yorktown, VA 23693-3350
Phone: (757) 204-1866
Fax: (757) 782-4004

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 0704013614 (VA)

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Registry record

NPI: 1023879236
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2024
Record last updated: 16 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.