Individual provider · Type 1 NPI

Tracy Lynn Nicklas, AMFT/APCC

Marriage & Family Therapist · Chula Vista, CA

NPI number 1508727173 Active

Practice location

855 Bowsprit Rd
Chula Vista, CA 91914-4529

Call (619) 549-0329 Map

Mailing address

12802 Mapleview St Apt 9
Lakeside, CA 92040-2003

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X20565 (CA)
Marriage & Family Therapist Primary 106H00000X157713 (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 1508727173

Tracy Lynn Nicklas, AMFT/APCC's National Provider Identifier is 1508727173, issued on Nov 21, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Chula Vista, CA. The record was last updated on Nov 21, 2025.