ELLYCE DIANA PAYNE

KENNESAW, GA
NPI1366970782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  005656)
Enumeration Date2017-05-30
Last Update Date2017-05-30
Business Address
ELLYCE DIANA PAYNE MS, NCC, LAPC
6095 PINE MOUNTAIN RD NW STE 105
KENNESAW, GA 30152-3332
Phone number: 678-217-7529
Mailing Address
ELLYCE DIANA PAYNE MS, NCC, LAPC
2743 FAIRFIELD DR SW
MARIETTA, GA 30064-3721
Phone number: 678-522-7832
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