Organization
THE TEMECULA CENTER OF PASTORAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY PINE M.DIV., ED.S. (OWNER)
(951) 240-5250
Entity
Organization
Contact information
Practice address
28545 FELIX VALDEZ AVE, SUITE B-1, TEMECULA, CA 92590-1859
(951) 240-5250
Mailing address
28545 FELIX VALDEZ AVE, SUITE B-1, TEMECULA, CA 92590-1859
(951) 240-5250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YP1600X
Pastoral Counselor
—
CA
101YP2500X
Professional Counselor
Primary
—
CA
103TS0200X
School Psychologist
—
CA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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