Organization
DIVINA FAMILY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI AYALA LPCC (CLINICAL THERAPIST)
(909) 375-3816
Entity
Organization
Contact information
Practice address
325 W HOSPITALITY LN STE 110, SAN BERNARDINO, CA 92408-3210
(909) 375-3816
Mailing address
325 W HOSPITALITY LN STE 110, SAN BERNARDINO, CA 92408-3210
(909) 375-3816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/19/2022
Last updated
10/31/2023
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