Individual
RICKY PAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
408 W MOREHEAD ST, ROXBORO, NC 27573-4937
(919) 906-4426
(336) 647-4776
Mailing address
408 W MOREHEAD ST, ROXBORO, NC 27573-4937
(919) 906-4426
(919) 496-2906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24883
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806034
—
NC
Enumeration date
02/17/2010
Last updated
06/30/2023
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