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NPI Code Detail

MEDICARE: MRS. DORIS JEAN PAYTON LCDC

MEDICARE:  MRS. DORIS JEAN PAYTON  LCDC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor8550TX

General Provider Information

NPI Number : 1710196357
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DORIS JEAN PAYTON LCDC
Provider Business Mailing Address
First Line : 7535 ASHBURN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77061-1503
Country : US
Telephone Number : 713-649-7925
Fax Number :
Provider Business Practice Location Address
First Line : 7535 ASHBURN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77061-1503
Country : US
Telephone Number : 713-649-7925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. DORIS JEAN PAYTON LCDC” Practice Location

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