Individual
TAMIKA DANYEL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4304A E CENTRAL TEXAS EXPY STE A, KILLEEN, TX 76543-7308
(254) 638-8680
Mailing address
4304A E CENTRAL TEXAS EXPY STE A, KILLEEN, TX 76543-7308
(254) 638-8680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13213
TX
Other
Enumeration date
12/03/2017
Last updated
12/03/2017
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