Individual
FALENIA RUNAE PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(270) 763-0728
(270) 763-9618
Mailing address
5404 S DIXIE HWY, GLENDALE, KY 42740-9711
(615) 289-3320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
265401
KY
Other
Enumeration date
08/08/2020
Last updated
08/27/2020
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