Individual
CASEY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 515-7661
Mailing address
15513 MOOSEHORN WAY, CALDWELL, ID 83607-5326
(253) 341-2673
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LPC8330
ID
Other
Enumeration date
09/06/2021
Last updated
10/21/2021
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