Individual
SANDRA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1550 N MOUNT JULIET RD STE 118, MOUNT JULIET, TN 37122-3786
(615) 200-8477
Mailing address
2900 NONAVILLE RD, MOUNT JULIET, TN 37122-5003
(224) 875-1204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178011506
IL
101YP2500X
Professional Counselor
180012170
IL
101YP2500X
Professional Counselor
Primary
5540
TN
Other
Enumeration date
12/14/2015
Last updated
04/10/2026
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