Individual
SAMANTHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
(860) 892-7043
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
3573
CT
Other
Enumeration date
01/21/2016
Last updated
11/16/2018
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