Individual provider · Type 1 NPI

Shea Prophet

Marriage & Family Therapist · San Diego, CA

NPI number 1730641408 Active

Practice location

318 4th Ave
San Diego, CA 91910

Call (619) 952-6308 Map

Mailing address

1315 Hillcrest Dr
Alpine, CA 91901-1603

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X121696 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1730641408

Shea Prophet's National Provider Identifier is 1730641408, issued on Apr 2, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Diego, CA. The record was last updated on Mar 6, 2026.