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Individual
RICHARD PAYNE
Active
Individual
RICHARD PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.162568
OH
101YM0800X
Mental Health Counselor
C.1500925
OH
101YP2500X
Professional Counselor
Primary
E.1901425
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
MEDICAID ODADAS
OH
01
—
0074946
MEDICAID ODMH
OH
01
—
01-0693
CARF CERTIFICATION
OH
Enumeration date
01/31/2017
Last updated
05/13/2020
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