Individual
DAVID RUSSELL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC
Contact information
Practice address
3920 AKIN LN, BURLINGTON, KY 41005-9714
(502) 324-7586
(859) 692-1289
Mailing address
3920 AKIN LN, BURLINGTON, KY 41005-9714
(502) 324-7586
(859) 692-1289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0800292
OH
Other
Enumeration date
05/04/2012
Last updated
11/12/2020
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