Individual provider · Type 1 NPI
Paul Nyklicek, LMFT, LADC
Addiction (Substance Use Disorder) Counselor · Farmington, CT
NPI number
1053473744
Active
Practice location
790 Farmington Ave, Building 4A
Farmington, CT 06032-2300
Mailing address
20 Ariel Way
Avon, CT 06001-3701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000240 (CT) |
| Marriage & Family Therapist | 106H00000X | 000804 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053473744
Paul Nyklicek, LMFT, LADC's National Provider Identifier is 1053473744, issued on Dec 15, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Farmington, CT. The record was last updated on Sep 11, 2025.