| Divina Family Counseling Services | |
|
325 W Hospitality Ln Ste 110 San Bernardino CA 92408-3210 | |
| (909) 375-3816 | |
| Not Available |
| Full Name | Divina Family Counseling Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 325 W Hospitality Ln Ste 110, San Bernardino, California |
| Authorized Official Name and Position | Lori Ayala (CLINICAL THERAPIST) |
| Authorized Official Contact | 9093753816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divina Family Counseling Services 325 W Hospitality Ln Ste 110 San Bernardino CA 92408-3210 Ph: (909) 375-3816 | Divina Family Counseling Services 325 W Hospitality Ln Ste 110 San Bernardino CA 92408-3210 Ph: (909) 375-3816 |
| NPI Number | 1376255752 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376255752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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