Individual
MR. NICHOLAS MATTHEW PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
9171 BELMONT DR, LENEXA, KS 66227-7249
(913) 927-3563
Mailing address
9171 BELMONT DR, LENEXA, KS 66227-7249
(913) 927-3563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
426
KS
1041C0700X
Clinical Social Worker
Primary
1351
KS
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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