# KAYLA NICKERSON, LMFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275087884
- **Authorized official:** KAYLA NICKERSON (OWNER)
- **Authorized official phone:** (860) 373-8802

## Contact information

- **Practice address:** 140 ROSS HILL RD, LISBON, CT 06351-2824
- **Practice address phone:** (860) 373-8802
- **Mailing address:** 18 ONECO ST, NORWICH, CT 06360-3440
- **Mailing address phone:** (860) 373-8802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1832 | CT | Yes |

## Other

- **Enumeration date:** 08/11/2016
- **Last updated:** 08/11/2016