Individual
MARIYA JAVED-PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Contact information
Practice address
9300 HENNEPIN TOWN RD STE 110, EDEN PRAIRIE, MN 55347-3072
(763) 232-4694
Mailing address
5100 W 84TH ST APT 2, BLOOMINGTON, MN 55437-1367
(763) 232-4694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MN
1041C0700X
Clinical Social Worker
Primary
22773
MN
Other
Enumeration date
12/24/2018
Last updated
01/17/2023
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