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Individual

ADRIAN L PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 342-5897

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1350650619
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7068
CA
05
7420
CA
Enumeration date
03/04/2007
Last updated
12/06/2024
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