Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shea Prophet

Individual provider Marriage & Family Therapist · NPI 1730641408

Shea Prophet is a Marriage & Family Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

318 4th Ave
San Diego, CA 91910
Phone: (619) 952-6308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 121696 (CA)

Record details

NPI number1730641408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2019
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

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