person
Mr. Glenn C Maynard, LPC
Professional Counselor in Portland, Oregon
NPI 1548430374

Glenn C Maynard is a Professional Counselor based in Portland, OR and is specialized in Professional. Glenn C Maynard practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Glenn C Maynard is 1548430374 and holds a License No. C0084 (Oregon).

The current practice location address for Glenn C Maynard is 1020 Sw Taylor St, Portland, OR and can be reached out via phone at 503-295-6265 and via fax at 503-232-1969.

Location: 1020 Sw Taylor St, Portland, OR, 97205-2543
person
Provider Profile Details
NPI Number
1548430374
Provider Name
Glenn C Maynard
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1020 Sw Taylor St, Portland, OR, 97205-2543
Phone Number
503-295-6265
Fax Number
503-232-1969
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1020 Sw Taylor St
City
State
Zip
97205-2543
Phone Number
503-295-6265
Fax Number
503-232-1969
person
Provider Business Mailing Address Details
Address
1020 Sw Taylor St
City
State
Zip
97205-2543
Phone Number
503-295-6265
Fax Number
503-232-1969
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C0084 (Oregon)
Definition
Definition to come...
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