Individual
MRS. JESSICA LYNN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 488-4134
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 464-3382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6936-S
NV
1041C0700X
Clinical Social Worker
Primary
7619-C
NV
1041C0700X
Clinical Social Worker
IC-931
NV
Other
Enumeration date
08/29/2016
Last updated
12/06/2024
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