Individual provider · Type 1 NPI
Derek James Wilson, LPC
Professional Counselor · Windsor, CT
NPI number
1114348729
Active
Practice location
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Mailing address
260 Carriage Crossing Ln
Middletown, CT 06457-5864
Other practice locations
- 50 Brookside Rd, Waterbury, CT 06708-1402 · (203) 755-4490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor Primary | 101YP2500X | 003206 (CT) |
Professional Counselor: Definition to come...
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- Janice Dawn-Maria MahoneyProfessional Counselor Windsor, CT NPI 1346151453
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About NPI 1114348729
Derek James Wilson, LPC's National Provider Identifier is 1114348729, issued on Dec 27, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Windsor, CT. The record was last updated on Oct 2, 2018.