person
Jamie Nicole Maynard-gilliam
Addiction (Substance Use Disorder) Counselor in Louisa, Kentucky
NPI 1205545316

Jamie Nicole Maynard-gilliam is an Addiction (Substance Use Disorder) Counselor based in Louisa, KY and is specialized in Addiction (Substance Use Disorder). Jamie Nicole Maynard-gilliam practices in Louisa, KY. The NPI Number for Jamie Nicole Maynard-gilliam is 1205545316 and holds a License No. (Kentucky).

The current practice location address for Jamie Nicole Maynard-gilliam is 125 S Main Cross St, Louisa, KY and can be reached out via phone at 606-638-0938.

Location: 125 S Main Cross St, Louisa, KY, 41230-1407
person
Provider Profile Details
NPI Number
1205545316
Provider Name
Jamie Nicole Maynard-gilliam
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 S Main Cross St, Louisa, KY, 41230-1407
Phone Number
606-638-0938
Fax Number
Provider Enumeration Date
11/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider Business Mailing Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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