Individual provider · Type 1 NPI

Kelsey Smith Payne, BA, CADC I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1033511407 Active

Practice location

537 SE Alder St
Portland, OR 97214-2231

Call (503) 206-1059 Map

Mailing address

3910 SE Stark St
Portland, OR 97214-3241

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13-06-52 (OR)
Mental Health Counselor 101YM0800XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033511407

Kelsey Smith Payne, BA, CADC I's National Provider Identifier is 1033511407, issued on Sep 17, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 21, 2015.