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Roxanne Maynard, LPC,LCDC
Professional Counselor in San Antonio, Texas
NPI 1407102718

Roxanne Maynard is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Roxanne Maynard practices in San Antonio, TX and has the professional credentials of LPC,LCDC. The NPI Number for Roxanne Maynard is 1407102718 and holds a License No. 73188 (Texas).

The current practice location address for Roxanne Maynard is 4203 Gardendale St Ste C214, San Antonio, TX and can be reached out via phone at 210-243-0693 and via fax at 877-287-0053.

Location: 4203 Gardendale St Ste C214, San Antonio, TX, 78229-3174
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Provider Profile Details
NPI Number
1407102718
Provider Name
Roxanne Maynard
Credential
LPC,LCDC
Provider Entity Type
Individual
Gender
Female
Address
4203 Gardendale St Ste C214, San Antonio, TX, 78229-3174
Phone Number
210-243-0693
Fax Number
877-287-0053
Provider Enumeration Date
07/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
351033101 05 TX
institution
Provider Business Practice Location Address Details
Address
4203 Gardendale St Ste C214
City
State
Zip
78229
Phone Number
210-243-0693
Fax Number
877-287-0053
person
Provider Business Mailing Address Details
Address
4203 Gardendale St Ste C214
City
State
Zip
78229
Phone Number
210-243-0693
Fax Number
877-287-0053
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5444 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
73188 (Texas)
Definition
Definition to come...
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