Jayne Payne, LCDC, ADCIII, PHD.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Waelder, TX
NPI 1669977708 · NPPES record last updated Mar 29, 2018
Key facts
- NPI
- 1669977708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1724 (TX)
- Practice address
- 4168 County Road 444
Waelder, TX 78959-5328 - Phone
- (832) 797-2486
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1724 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1724 | TX | Yes |
Addresses
Primary practice location
4168 County Road 444
Waelder, TX 78959-5328
Mailing address
PO Box 86
Waelder, TX 78959-0086
Phone (832) 797-2426
Other providers in Waelder, TX
- Banyan Texas, LLC
- Compass Health Systems of Texas, PA
- Gonzales Healthcare Systems
- Sue Hanner
- Waelder Independent School District
All providers in Waelder, TX · Addiction (Substance Use Disorder) Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.