Individual
MARCI CATHLEEN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19401 E US HIGHWAY 40 STE 140, INDEPENDENCE, MO 64055-5400
(816) 373-6761
Mailing address
19401 E US HIGHWAY 40 STE 140, INDEPENDENCE, MO 64055-5400
(816) 373-6761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2001000713
MO
101YP2500X
Professional Counselor
Primary
2001000713
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103324
CENPATICO PROVIDER NUMBER
MO
01
—
2082133
CIGNA PROVIDER NUMBER
MO
01
—
30165015
BC PROVIDER NUMBER
MO
Enumeration date
12/22/2006
Last updated
03/17/2018
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