MEDICARE: PAUL KUCZO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	7480	CT

General Provider Information

NPI Number	:	1972469823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL KUCZO

Provider Business Mailing Address
First Line	:	B11 NANNI DR
Second Line	:
City	:	WINSTED
State	:	CT
Zip	:	06098-2109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	457 BANTAM RD
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3225
Country	:	US
Telephone Number	:	860-387-7349
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ PAUL KUCZO ” Practice Location

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