Individual provider · Type 1 NPI
Warren Russell Payne Jr., PHD LICENSED PROFESS
Professional Counselor · Webster Groves, MO
NPI number
1952428096
Active
Practice location
875 Atalanta Avenue
Webster Groves, MO 63119-2001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000136 (MO) |
Professional Counselor: Definition to come...
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About NPI 1952428096
Warren Russell Payne Jr., PHD LICENSED PROFESS's National Provider Identifier is 1952428096, issued on Mar 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Webster Groves, MO. The record was last updated on Jul 8, 2007.