Individual
MISS CAROLINE AUSTIN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15305 RAYEN ST, NORTH HILLS, CA 91343-5117
(818) 920-7070
Mailing address
1611 S BRONSON AVE, LOS ANGELES, CA 90019-6076
(818) 402-6105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PL20413
LA COUNTY DMH
CA
Enumeration date
03/07/2007
Last updated
07/08/2007
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