Individual
JAMES PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC-MHSP TEMP
Contact information
Practice address
3380 WALNUT GROVE RD, SPARTA, TN 38583-5365
(931) 372-7117
Mailing address
114 JUDGE AUSTIN RD, SPARTA, TN 38583-7252
(865) 266-9764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6378
TN
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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