Organization
SAFE SPACE MARRIAGE & FAMILY COUNSELING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER ROUSSELO LMFT (PRESIDENT)
(661) 212-2997
Entity
Organization
Contact information
Practice address
28100 BOUQUET CANYON RD STE 201, SANTA CLARITA, CA 91350-2006
(661) 212-2997
(833) 766-3523
Mailing address
19684 NEWHOUSE ST, CANYON COUNTRY, CA 91351-2048
(661) 212-2997
(833) 766-3523
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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