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Organization
DEVINE COUNSELING
Active
Organization
DEVINE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRA C MARTIN PH.D., LMFT (OWNER)
(424) 326-3828
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5879
(424) 326-3828
(424) 204-0411
Mailing address
PO BOX 672142, HOUSTON, TX 77267-2142
(424) 326-3828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
10/06/2021
Last updated
04/10/2024
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