Individual
DESTINY K PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
(541) 963-3525
Mailing address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
(541) 963-3525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
26-QMHA-R-8085
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3536
OR
175T00000X
Peer Specialist
25-CEM-II-0499
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/18/2023
Last updated
03/04/2026
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