Individual
AMANDA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
264 PASEO REYES DR, SAINT AUGUSTINE, FL 32095-8462
(904) 481-9131
(904) 562-3465
Mailing address
264 PASEO REYES DR, SAINT AUGUSTINE, FL 32095-8462
(904) 481-9131
(904) 562-3465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13243
FL
Other
Enumeration date
06/28/2016
Last updated
01/10/2021
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