| Kayla Nickerson, Lmft Llc | |
|
140 Ross Hill Rd Lisbon CT 06351-2824 | |
| (860) 373-8802 | |
| Not Available |
| Full Name | Kayla Nickerson, Lmft Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 140 Ross Hill Rd, Lisbon, Connecticut |
| Authorized Official Name and Position | Kayla Nickerson (OWNER) |
| Authorized Official Contact | 8603738802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Nickerson, Lmft Llc 18 Oneco St Norwich CT 06360-3440 Ph: (860) 373-8802 | Kayla Nickerson, Lmft Llc 140 Ross Hill Rd Lisbon CT 06351-2824 Ph: (860) 373-8802 |
| NPI Number | 1275087884 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275087884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1832 (Connecticut) | Primary |
Hullistic Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 28 Lee Rd, Lisbon, CT 06351 Phone: 860-367-5343 Fax: 888-492-8998 | |
Pride And Joy Aba Interventions And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Barber Farm Road, Lisbon, CT 06351 Phone: 860-245-1519 |