Individual provider · Type 1 NPI

Shannon Rodriguez

Marriage & Family Therapist · Canyon Lake, CA

NPI number 1750832226 Active

Practice location

31526 Railroad Canyon Rd Ste 5
Canyon Lake, CA 92587-9443

Call (951) 219-3255 Map

Mailing address

31724 Casino Dr
Lake Elsinore, CA 92530-4510

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X150251 (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 1750832226

Shannon Rodriguez's National Provider Identifier is 1750832226, issued on Oct 20, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Canyon Lake, CA. The record was last updated on Nov 20, 2025.