Individual
MR. PAUL NYKLICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LADC
Contact information
Practice address
790 FARMINGTON AVE, BUILDING 4A, FARMINGTON, CT 06032-2300
(860) 573-3650
Mailing address
20 ARIEL WAY, AVON, CT 06001-3701
(860) 573-3650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000240
CT
106H00000X
Marriage & Family Therapist
000804
CT
Other
Enumeration date
12/15/2006
Last updated
09/11/2025
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