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Individual

DEREK PAYSON WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED

Contact information

Practice address
791 S MAIN ST, PLANTSVILLE, CT 06479-1519
(860) 378-8090
Mailing address
791 S MAIN ST, PLANTSVILLE, CT 06479-1519
(860) 378-8090

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MA
101YP2500X
Professional Counselor
Primary
8592
CT

Other

Enumeration date
07/26/2023
Last updated
07/10/2025
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