person
Mr. Dallas Wayne Payton, MA,LCPC
Mental Health Counselor in Caldwell, Idaho
NPI 1518161827

Dallas Wayne Payton is a Mental Health Counselor based in Caldwell, ID and is specialized in Mental Health. Dallas Wayne Payton practices in Caldwell, ID and has the professional credentials of MA,LCPC. The NPI Number for Dallas Wayne Payton is 1518161827 and holds a License No. LCPC-4441 (Idaho).

The current practice location address for Dallas Wayne Payton is 2819 Bristol Ave, Caldwell, ID and can be reached out via phone at 208-936-0010. You can also correspond with Dallas Wayne Payton through the mailing address at 2819 BRISTOL AVE, CALDWELL, ID - 83605-1629 (mailing address contact number: 208-936-0010).

Location: 2819 Bristol Ave, Caldwell, ID, 83605-1629
person
Provider Profile Details
NPI Number
1518161827
Provider Name
Dallas Wayne Payton
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Male
Address
2819 Bristol Ave, Caldwell, ID, 83605-1629
Phone Number
208-936-0010
Fax Number
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2819 Bristol Ave
City
State
Zip
83605-1629
Phone Number
208-936-0010
Fax Number
person
Provider Business Mailing Address Details
Address
2819 Bristol Ave
City
State
Zip
83605-1629
Phone Number
208-936-0010
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-4441 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-4441 (Idaho)
Definition
Definition to come...
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