JERRY PINE M.DIV. ED.S. NPI 1609015940

NPI Information

NPI: 1609015940
Provider Name: JERRY PINE, M.DIV., ED.S.
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
28545 FELIX VALDEZ AVE
SUITE B-1
TEMECULA, CA
ZIP 92590
Phone: (951) 240-5250
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Jerry Pine, M.DIV., ED.S. is a pastoral counselor in Temecula, CA. Jerry Pine, M.DIV., ED.S. NPI is 1609015940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28545 FELIX VALDEZ AVE
SUITE B-1
TEMECULA, CA
ZIP 92590-859
Phone: (951) 240-5250

The enumeration date for this NPI number is 2/10/2009 and was last updated on 6/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TS0200X	Psychologist	School		CALIFORNIA	No
2	101YP1600X	Counselor	Pastoral		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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