Individual
DEANDRA LYNN PAYNE-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-1223
(703) 636-5100
Mailing address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-1223
(703) 636-5100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009019
VA
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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