Individual
MR. ZEBULI LAWRANCE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
200 GWEE-SHUT RD, SILETZ, OR 97380-2036
(541) 444-1030
(541) 444-9676
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
(541) 444-1030
(541) 444-9676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-06-47
OR
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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