Individual
EDWIN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2019 4TH ST, JACKSON, MI 49203-3555
(734) 719-0193
Mailing address
2019 4TH ST, JACKSON, MI 49203-3555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011227
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-1398194
STATE
MI
Enumeration date
07/02/2017
Last updated
07/02/2017
About Stedi
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