Lange K Payne, LPC, LMFTA
NPI #1538958517 in Bloomington, Illinois
Provider Information
- NPI Number
- 1538958517
- Entity Type
- Individual
- Name
- Lange K Payne, LPC, LMFTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, LMFTA
- Enumeration Date
- May 5, 2025
- Last Updated
- May 5, 2025
Practice Location
- Address
- 808 S ELDORADO RD STE 300
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6009
- Phone
- (660) 624-0646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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