Sacred Space Marriage Therapy, Prof. Corp
NPI #1831059468 in Canyon Lake, California
Provider Information
- NPI Number
- 1831059468
- Entity Type
- Organization
- Organization Name
- Sacred Space Marriage Therapy, Prof. Corp
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Nov 15, 2025
- Last Updated
- Nov 15, 2025
Practice Location
- Address
- 31526 RAILROAD CANYON RD STE 5
- City
- Canyon Lake
- State
- California
- ZIP Code
- 92587-9443
- Phone
- (951) 219-3255
Authorized Official
- Name
- SHANNON RODRIGUEZ, LMFT
- Title
- THERAPIST
- Phone
- (951) 219-3255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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