Individual
MR. MARCEL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2610 COMMONS BLVD, AUGUSTA, GA 30909-2080
(706) 733-1935
Mailing address
2610 COMMONS BLVD, AUGUSTA, GA 30909-2080
(706) 733-1935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CSW006383
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSW006383
GA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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