person
Richard Payne, LPCC
Professional Counselor in Fairfield, Ohio
NPI 1336686120

Richard Payne is a Professional Counselor based in Fairfield, OH and is specialized in Professional. Richard Payne practices in Fairfield, OH and has the professional credentials of LPCC. The NPI Number for Richard Payne is 1336686120 and holds a License No. CDCA.162568 (Ohio).

The current practice location address for Richard Payne is 1251 Nilles Rd Ste 5, Fairfield, OH and can be reached out via phone at 513-939-0300 and via fax at 513-939-0310.

Location: 1251 Nilles Rd Ste 5, Fairfield, OH, 45014-7205
person
Provider Profile Details
NPI Number
1336686120
Provider Name
Richard Payne
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
1251 Nilles Rd Ste 5, Fairfield, OH, 45014-7205
Phone Number
513-939-0300
Fax Number
513-939-0310
Provider Enumeration Date
01/31/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01-0693 01 OH CARF CERTIFICATION
0074861 01 OH MEDICAID ODADAS
0074946 01 OH MEDICAID ODMH
institution
Provider Business Practice Location Address Details
Address
1251 Nilles Rd Ste 5
City
State
Zip
45014-7205
Phone Number
513-939-0300
Fax Number
513-939-0310
person
Provider Business Mailing Address Details
Address
1251 Nilles Rd Ste 5
City
State
Zip
45014-7205
Phone Number
513-939-0300
Fax Number
513-939-0310
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
E.1901425 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C.1500925 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CDCA.162568 (Ohio)
Definition
Definition to come...
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