Individual provider · Type 1 NPI

Antia Marie Payton

Mental Health Counselor · Fort Wayne, IN

NPI number 1750158705 Active

Practice location

6030 E State Blvd
Fort Wayne, IN 46815-7639

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750158705

Antia Marie Payton's National Provider Identifier is 1750158705, issued on Dec 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 11, 2023.