Individual provider · Type 1 NPI

Angie Jo Nicholas, LMFT

Marriage & Family Therapist · Stockton, CA

NPI number 1679713796 Active

Practice location

4545 Georgetown Pl, B-13
Stockton, CA 95207-6215

Call (209) 224-4994 Map

Mailing address

4908 Cozad Way
Stockton, CA 95212-1904

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X52080 (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 1679713796

Angie Jo Nicholas, LMFT's National Provider Identifier is 1679713796, issued on Mar 2, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Stockton, CA. The record was last updated on Nov 2, 2015.