Individual
REBECCA ROSE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
Mailing address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2018
Last updated
03/22/2022
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