Wilson, Derek James
Wilson, Derek James is an individual health care provider with primary practice located at 360 Bloomfield Ave Ste 301 , Windsor CT 06095-2700. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wilson, Derek James can be contacted via phone (860) 471-3819.Contact Information
Primary practice address
360 Bloomfield Ave Ste 301
Windsor CT 06095-2700
Phone: (860) 471-3819
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 003206 | Connecticut |
Profile Details
| NPI number | 1114348729 |
|---|---|
| LBN Legal business name | Wilson, Derek James |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2013 |
| Last updated | Oct 2nd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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