Individual provider · Type 1 NPI

Destiny K. Payne

Addiction (Substance Use Disorder) Counselor · La Grande, OR

NPI number 1043990781 Active

Practice location

2301 Cove Ave
La Grande, OR 97850-3906

Call (541) 962-8800 Map

Fax (541) 963-3525

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X25-CEM-II-0499 (OR)
Counselor 101Y00000X26-QMHA-R-8085 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-24-3536 (OR)

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

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About NPI 1043990781

Destiny K. Payne's National Provider Identifier is 1043990781, issued on Jul 18, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Grande, OR. The record was last updated on Mar 4, 2026.