Individual
BAYSHON PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 NW 114TH ST, OKLAHOMA CITY, OK 73114-6703
(405) 824-1869
Mailing address
444 NW 114TH ST, OKLAHOMA CITY, OK 73114-6703
(405) 824-1869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
D082807639
OK
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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