| Mr Derek James Wilson, LPC | |
|
360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | |
| (860) 471-3819 | |
| Not Available |
| Full Name | Mr Derek James Wilson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 360 Bloomfield Ave Ste 301, Windsor, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114348729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 003206 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek James Wilson, LPC 260 Carriage Crossing Ln, Middletown, CT 06457-5864 Ph: (860) 471-3819 | Mr Derek James Wilson, LPC 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 Ph: (860) 471-3819 |
Brittany Bauer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-697-3351 Fax: 860-731-5536 | |
Destiny Grant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-731-5522 Fax: 860-731-5536 | |
Joyce A Erickson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1343 Hillside Cir, Windsor, CT 06095 Phone: 860-707-9438 | |
Nardine Staroverov, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Maple Ave Ste C, Windsor, CT 06095 Phone: 860-593-4908 | |
Valerie Barrett-noel, Counselor Medicare: Medicare Enrolled Practice Location: 600 W Wolcott Ave, Windsor, CT 06095 Phone: 860-794-0652 | |
Antonette Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-731-5522 Fax: 860-731-5536 | |
Mrs. Rosanna Z Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Kellogg St, Windsor, CT 06095 Phone: 860-219-1029 |