SearchNorth Dakota101YA0400X

Joshua Maynard, LAC

NPI 1366674723 · on the registry since 2009

Practice

Address
4227 9th Ave S
Fargo, ND 58103
Phone
(701) 282-6561
Fax
(701) 277-0306
Organisation at this address
Sharehouse, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota