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NPI Code Detail

MEDICARE: KRISTI MAYNARD

MEDICARE: KRISTI MAYNARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerS.0026775OH
2101YA0400XAddiction (Substance Use Disorder) CounselorLCDCIII.162386OH

General Provider Information

NPI Number : 1316427073
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI MAYNARD
Provider Business Mailing Address
First Line : 519 COURT ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-3933
Country : US
Telephone Number : 220-221-6520
Fax Number :
Provider Business Practice Location Address
First Line : 519 COURT ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-3933
Country : US
Telephone Number : 220-221-6520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 04/30/2026

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Directions to “ KRISTI MAYNARD ” Practice Location

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