Individual
MRS. JENNIFER JEAN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CCMC
Contact information
Practice address
544 J R ALLSBROOK HWY, ROANOKE RAPIDS, NC 27870-4611
(252) 537-7458
(252) 537-7458
Mailing address
544 JULIAN R ALLSBROOK HWY, ROANOKE RAPIDS, NC 27870-4611
(252) 537-7458
(252) 541-2039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8616
NC
101Y00000X
Counselor
A8616
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
8616
NC
Other
Enumeration date
10/03/2014
Last updated
09/21/2021
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