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Individual

ESTELLA PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
910 JEFFERSON ST, GREENFIELD, OH 45123-1229
(937) 997-3224
Mailing address
84 WALNUT ST, PEEBLES, OH 45660-1284
(740) 463-4278

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCAPRE.195834
OH
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2910854
OH
Enumeration date
02/09/2024
Last updated
06/10/2026
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