Individual
BROOKE FELENA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E MCCORD ST, CENTRALIA, IL 62801-3702
(618) 532-4311
Mailing address
204 W BOND AVE, PATOKA, IL 62875-1032
(773) 501-8198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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