Individual
MR. DERRICK ERNEST THOMPSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(888) 793-3500
Mailing address
395 BRITTANY FARMS RD, APT 329, NEW BRITAIN, CT 06053-1100
(860) 810-6591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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