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Organization
SACRED SPACE MARRIAGE THERAPY, PROF. CORP
Active
Organization
SACRED SPACE MARRIAGE THERAPY, PROF. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RODRIGUEZ LMFT (THERAPIST)
(951) 219-3255
Entity
Organization
Contact information
Practice address
31577 CANYON ESTATES DR STE 225, LAKE ELSINORE, CA 92532-0473
(951) 219-3255
Mailing address
31577 CANYON ESTATES DR STE 225, LAKE ELSINORE, CA 92532-0473
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
09/09/2026
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