Individual
MRS. ANGELIQUE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MAYCOX AVE, SUITE 3, NORFOLK, VA 23505-3433
(757) 769-7040
Mailing address
1028 GODFREY AVE, NORFOLK, VA 23504-3820
(757) 681-6804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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