person
Mr. Michael Ray Maynard
Mental Health Counselor in Rancho Cucamonga, California
NPI 1205069812

Michael Ray Maynard is a Mental Health Counselor based in Rancho Cucamonga, CA and is specialized in Mental Health. Michael Ray Maynard practices in Rancho Cucamonga, CA. The NPI Number for Michael Ray Maynard is 1205069812 and holds a License No. (California).

The current practice location address for Michael Ray Maynard is 7828 Day Creek Blvd Apt 131, Rancho Cucamonga, CA and can be reached out via phone at 909-438-0351 and via fax at 909-438-0351.

Location: 7828 Day Creek Blvd Apt 131, Rancho Cucamonga, CA, 91739-8570
person
Provider Profile Details
NPI Number
1205069812
Provider Name
Michael Ray Maynard
Credential
Provider Entity Type
Individual
Gender
Male
Address
7828 Day Creek Blvd Apt 131, Rancho Cucamonga, CA, 91739-8570
Phone Number
909-438-0351
Fax Number
909-438-0351
Provider Enumeration Date
08/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7828 Day Creek Blvd Apt 131
City
State
Zip
91739-8570
Phone Number
909-438-0351
Fax Number
909-438-0351
person
Provider Business Mailing Address Details
Address
7828 Day Creek Blvd Apt 131
City
State
Zip
91739-8570
Phone Number
909-438-0351
Fax Number
909-438-0351
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
APCC9197 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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