Individual provider · Type 1 NPI

Mary Wilson, LMFTA

Marriage & Family Therapist · Manchester, CT

NPI number 1285404210 Active

Practice location

444 Center St
Manchester, CT 06040-3926

Fax (860) 731-5536

Mailing address

928 Matianuck Ave
Windsor, CT 06095-3237

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor 101YM0800X3643 (CT)
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1285404210

Mary Wilson, LMFTA's National Provider Identifier is 1285404210, issued on Jan 2, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Manchester, CT. The record was last updated on Nov 7, 2025.