Individual provider · Type 1 NPI

Dwayne Nickerson

Marriage & Family Therapist · Riverside, CA

NPI number 1780011437 Active

Practice location

4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113

Call (805) 242-4851 Map

Fax (951) 329-5800

Other practice locations

  • 301 S Miller St Ste 121, Santa Maria, CA 93454 · (310) 897-0140
  • 3787 S Vermont Ave, Los Angeles, CA 90007-4203 · (323) 766-2345
  • 301 S Miller St Ste 112, Santa Maria, CA 93454 · (805) 361-0118
  • 301 S Miller St Ste 112, Santa Maria, CA 93454 · (805) 361-0118

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT96210 (CA)
Marriage & Family Therapist 106H00000XNone listed
Rehabilitation Practitioner 225400000XNone 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…

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About NPI 1780011437

Dwayne Nickerson's National Provider Identifier is 1780011437, issued on Sep 26, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Riverside, CA. The record was last updated on Dec 21, 2023.