Individual
CLINTON PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
(404) 247-0344
Mailing address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
(494) 247-0344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC002603
GA
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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