IndividualActive
Jerry Pine, M.DIV., ED.S.
NPI 1609015940 · Pastoral Counselor · Temecula, CA
Provider details
- NPI number
- 1609015940
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- M.DIV., ED.S.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- School Psychologist103TS0200X
Behavioral Health & Social Service Providers
Practice location
28545 Felix Valdez Ave
Suite B-1
Temecula, CA 92590-1859
Phone: (951) 240-5250
Approximate (ZIP-level) locationGet directions
Mailing address
28545 Felix Valdez Ave
Temecula, CA 92590-1859
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2009-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.