KEITH EDWARD PAYNE

WALLA WALLA, WA
NPI1639467624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: WA  LH 60241742)
Enumeration Date2011-07-12
Last Update Date2016-12-01
Business Address
KEITH EDWARD PAYNE LMHC
800 SPRAGUE AVE # 101
WALLA WALLA, WA 99362-3900
Phone number: 509-956-8125
Mailing Address
KEITH EDWARD PAYNE LMHC
800 SPRAGUE AVE # 101
WALLA WALLA, WA 99362-3900
Phone number: 509-956-8125