Individual
MR. SCOTT RICHARD PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
1400 N. GILBERT RD., SUITE: P, GILBERT, AZ 85234
(480) 528-5606
Mailing address
1400 N. GILBERT RD., SUITE: P, GILBERT, AZ 85234
(480) 528-5606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC- 10360
AZ
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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