Individual provider · Type 1 NPI

Derrick L. Birdsong Jr.

Counselor · Manchester, CT

NPI number 1013869445 Active

Practice location

444 Center St
Manchester, CT 06040-3926

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 40
Windsor, CT 06095-1587

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1013869445

Derrick L. Birdsong Jr.'s National Provider Identifier is 1013869445, issued on Feb 10, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Manchester, CT. The record was last updated on Feb 10, 2026.