Individual
AMANDA JO PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LCDC
Contact information
Practice address
401 W TEXAS AVE, BAYTOWN, TX 77520-4751
(281) 427-4226
Mailing address
401 W TEXAS AVE, BAYTOWN, TX 77520-4751
(281) 427-4226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11600
TX
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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