Individual provider · Type 1 NPI

Bruce Charles Nickles, MFT

Marriage & Family Therapist · San Jose, CA

NPI number 1174014252 Active

Practice location

151 W Mission St
San Jose, CA 95110-1713

Mailing address

PO Box 110681
Campbell, CA 95011-0681

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X39460 (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 1174014252

Bruce Charles Nickles, MFT's National Provider Identifier is 1174014252, issued on May 23, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Jose, CA. The record was last updated on May 23, 2018.