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Organization
LIFESPAN THERAPY GROUP
Active
Organization
LIFESPAN THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON NOSENZO-GOODMAN LMFT (CEO/OWNER)
(209) 920-7828
Entity
Organization
Contact information
Practice address
1132 SAN MARINO DR STE 209, SAN MARCOS, CA 92078-4600
(209) 920-7828
(760) 471-1803
Mailing address
1132 SAN MARINO DR STE 209, SAN MARCOS, CA 92078-4600
(209) 920-7828
(760) 471-1803
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
03/01/2026
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