Individual
JAYNE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, ADCIII, PHD.
Contact information
Practice address
4168 COUNTY ROAD 444, WAELDER, TX 78959-5328
(832) 797-2486
Mailing address
PO BOX 86, WAELDER, TX 78959-0086
(832) 797-2426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1724
TX
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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