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NPI Code Detail

MEDICARE: MR. MAURICE KATO PAYNE LPCC

MEDICARE: MR. MAURICE KATO PAYNE LPCC
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
1101YM0800XMental Health Counselor2144NM
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730215658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MAURICE KATO PAYNE LPCC
Provider Business Mailing Address
First Line : 5901 ZUNI RD SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-3073
Country : US
Telephone Number : 505-841-8978
Fax Number : 505-841-8958
Provider Business Practice Location Address
First Line : 5901 ZUNI RD SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-3073
Country : US
Telephone Number : 505-841-8978
Fax Number : 505-841-8958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 11/05/2008

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