Healthcare Provider Details

I. General information

NPI: 1417874538
Provider Name (Legal Business Name): ERIN MARGARET DEVINE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 83RD AVE SW
OLYMPIA WA
98512-7508
US

IV. Provider business mailing address

3225 83RD AVE SW
OLYMPIA WA
98512-7508
US

V. Phone/Fax

Practice location:
  • Phone: 415-298-6472
  • Fax:
Mailing address:
  • Phone: 415-298-6472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number98035
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: