# TROY NICKELL FAMILY THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PsyNamic Counseling and Psychological Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336889963
- **Authorized official:** TROY NICKELL (PRESIDENT)
- **Authorized official phone:** (858) 314-8437

## Contact information

- **Practice address:** 731 S HIGHWAY 101 STE 1E, SOLANA BEACH, CA 92075-2628
- **Practice address phone:** (858) 314-8437
- **Mailing address:** 721 KNIGHTSBRIDGE CT, CARDIFF, CA 92007-1319
- **Mailing address phone:** (760) 815-2472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2022
- **Last updated:** 09/28/2022