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Jonathan Edward Payne
Mental Health Counselor in Santa Cruz, California
NPI 1922203603

Jonathan Edward Payne is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Jonathan Edward Payne practices in Santa Cruz, CA. The NPI Number for Jonathan Edward Payne is 1922203603 and holds a License No. (California).

The current practice location address for Jonathan Edward Payne is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-763-8695.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922203603
Provider Name
Jonathan Edward Payne
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-763-8695
Fax Number
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B4818118 01 CA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-763-8695
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-763-8695
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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