Elisabeth Erin Payne
Counselor, Mental Health in Roseburg, OR. Individual provider (NPI-1).
NPI number1003552829
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1003552829
- Entity type
- Individual (NPI-1)
- Name
- Elisabeth Erin Payne
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2022
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
215 Se Jackson StRoseburg, OR 97470-3341
Phone 541-464-6660
Mailing address
1036 Se Douglas Ave.Room Ch105a
Roseburg, OR 97470
Phone 541-391-2636
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