Organization · Type 2 NPI

Sacred Space Marriage Therapy, Prof. Corp

Marriage & Family Therapist · Canyon Lake, CA

NPI number 1831059468 Active

Practice location

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

Mailing address

31724 Casino Dr
Lake Elsinore, CA 92530-4510

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

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…

2 other providers at this address

About NPI 1831059468

Sacred Space Marriage Therapy, Prof. Corp's National Provider Identifier is 1831059468, issued on Nov 15, 2025. 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 15, 2025.