Individual provider · Type 1 NPI

Keely Payne

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1285173237 Active

Practice location

8626 Lower Sacramento Rd Ste 41
Stockton, CA 95210-1835

Mailing address

PO Box 464
Livermore, CA 94551-0464

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1285173237

Keely Payne's National Provider Identifier is 1285173237, issued on Feb 22, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Feb 22, 2017.