Individual
JESSICA L PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MSW
Contact information
Practice address
1441 KAPIOLANI BLVD STE 1600, HONOLULU, HI 96814-4407
(808) 432-7600
Mailing address
1441 KAPIOLANI BLVD STE 1802, HONOLULU, HI 96814-4408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-03134
MI
103T00000X
Psychologist
Primary
2124
HI
1041C0700X
Clinical Social Worker
6801095273
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2014
Last updated
12/07/2023
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