Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Lynn Nicklas, AMFT/APCC

Individual provider Professional Counselor · NPI 1508727173

Tracy Lynn Nicklas, AMFT/APCC is a Professional Counselor in Chula Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

855 Bowsprit Rd
Chula Vista, CA 91914-4529
Phone: (619) 549-0329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 157713 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 20565 (CA)

Record details

NPI number1508727173
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT/APCC
Sole proprietorYes
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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