person
Edwin Payne, LPC
Professional Counselor in Jackson, Michigan
NPI 1629599485

Edwin Payne is a Professional Counselor based in Jackson, MI and is specialized in Professional. Edwin Payne practices in Jackson, MI and has the professional credentials of LPC. The NPI Number for Edwin Payne is 1629599485 and holds a License No. 6401011227 (Michigan).

The current practice location address for Edwin Payne is 2019 4Th St, Jackson, MI and can be reached out via phone at 734-719-0193.

Location: 2019 4Th St, Jackson, MI, 49203-3555
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Provider Profile Details
NPI Number
1629599485
Provider Name
Edwin Payne
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2019 4Th St, Jackson, MI, 49203-3555
Phone Number
734-719-0193
Fax Number
Provider Enumeration Date
07/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-1398194 01 MI STATE
institution
Provider Business Practice Location Address Details
Address
2019 4Th St
City
State
Zip
49203-3555
Phone Number
734-719-0193
Fax Number
person
Provider Business Mailing Address Details
Address
2019 4Th St
City
State
Zip
49203-3555
Phone Number
734-719-0193
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401011227 (Michigan)
Definition
Definition to come...
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