Katrina Marie Divine
Katrina Marie Divine is a Mental Health Counselor in Guysville, Ohio. Qualified in 2015, 11 years ago. Practices as a sole proprietor.
- Years since qualifying
- 11
- In the registry since
- 2014
Practice location Address checks out
15393 Shade RdGuysville, OH 45735-7503
Phone: (530) 205-8302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1598189722 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2014 |
| Last updated in NPPES | November 14, 2023 |
| Certification date | November 14, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Accepts Medicare assignment | Not indicated |