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Dwayne Nickerson
Rehabilitation Practitioner in Riverside, California
NPI 1780011437

Dwayne Nickerson is a Rehabilitation Practitioner based in Riverside, CA. Dwayne Nickerson practices in Riverside, CA. The NPI Number for Dwayne Nickerson is 1780011437 and holds a License No. LMFT96210 (California).

The current practice location address for Dwayne Nickerson is 4193 Flat Rock Dr Ste 200, Riverside, CA and can be reached out via phone at 805-242-4851 and via fax at 951-329-5800. You can also correspond with Dwayne Nickerson through the mailing address at 4193 FLAT ROCK DR STE 200, RIVERSIDE, CA - 92505-7113 (mailing address contact number: 805-242-4851).

Location: 4193 Flat Rock Dr Ste 200, Riverside, CA, 92505-7113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780011437
Provider Name
Dwayne Nickerson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4193 Flat Rock Dr Ste 200, Riverside, CA, 92505-7113
Phone Number
805-242-4851
Fax Number
951-329-5800
Provider Enumeration Date
09/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4193 Flat Rock Dr Ste 200
City
Riverside
State
California
Zip
92505-7113
Phone Number
805-242-4851
Fax Number
951-329-5800
person
Provider Business Mailing Address Details
Address
4193 Flat Rock Dr Ste 200
City
Riverside
State
California
Zip
92505-7113
Phone Number
805-242-4851
Fax Number
951-329-5800
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
LMFT96210 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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