Organization
DIVINE DISCUSSIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA DIVINE LPCC (THERAPIST / OWNER)
(530) 205-8302
Entity
Organization
Contact information
Practice address
15393 SHADE RD, GUYSVILLE, OH 45735-7503
(740) 214-6108
Mailing address
15393 SHADE RD, GUYSVILLE, OH 45735-7503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568702520
—
CA
05
—
1598189722
—
CA
Enumeration date
09/07/2023
Last updated
09/07/2023
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