Individual provider · Type 1 NPI

Matthew Nickle

Marriage & Family Therapist · San Pedro, CA

NPI number 1942656426 Active

Practice location

1891 N Gaffey St, 230
San Pedro, CA 90731-1267

Call (310) 831-1967 Map

Mailing address

PO Box 7000-15
Redondo Beach, CA 90277

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	92602 (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 1942656426

Matthew Nickle's National Provider Identifier is 1942656426, issued on May 13, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Pedro, CA. The record was last updated on May 13, 2016.