Individual
MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5534
Mailing address
8 MIDDLEFIELD DR, WEST HARTFORD, CT 06107-1244
(860) 731-5522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001254
CT
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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