Individual
DANIEL DIVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2807 74TH ST STE 2, LUBBOCK, TX 79423-1408
(210) 867-8863
Mailing address
2807 74TH ST STE 2, LUBBOCK, TX 79423-1408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87982
TX
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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