Individual
MRS. ELIZABETH ANNE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2804 CAMINO DOS RIOS STE 206, THOUSAND OAKS, CA 91320-1175
(617) 379-0496
Mailing address
3414 RIO HATO CT, CAMARILLO, CA 93010-2365
(617) 379-0496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
012129
NY
101YP2500X
Professional Counselor
Primary
9243
CA
Other
Enumeration date
04/27/2018
Last updated
04/11/2023
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