# DEVINE COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407518533
- **Authorized official:** DR. PIERRA C MARTIN PH.D., LMFT (OWNER)
- **Authorized official phone:** (424) 326-3828

## Contact information

- **Practice address:** 9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5879
- **Practice address phone:** (424) 326-3828
- **Practice address fax:** (424) 204-0411
- **Mailing address:** PO BOX 672142, HOUSTON, TX 77267-2142
- **Mailing address phone:** (424) 326-3828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 04/10/2024
